Provider Demographics
NPI:1861647125
Name:LAHERA, MARGARET M (MS LSLP-CCC)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:M
Last Name:LAHERA
Suffix:
Gender:F
Credentials:MS LSLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2308 OLD POST RD N
Mailing Address - Street 2:
Mailing Address - City:CASTLETON
Mailing Address - State:NY
Mailing Address - Zip Code:12033-9556
Mailing Address - Country:US
Mailing Address - Phone:518-477-4581
Mailing Address - Fax:
Practice Address - Street 1:2308 OLD POST RD N
Practice Address - Street 2:
Practice Address - City:CASTLETON
Practice Address - State:NY
Practice Address - Zip Code:12033-9556
Practice Address - Country:US
Practice Address - Phone:518-477-4581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-29
Last Update Date:2008-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008817-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist