Provider Demographics
NPI:1881192953
Name:BACHMAN, MARGARET T (SLP, CCC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:T
Last Name:BACHMAN
Suffix:
Gender:F
Credentials:SLP, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 CAMPBELL AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:VA
Mailing Address - Zip Code:23851-1872
Mailing Address - Country:US
Mailing Address - Phone:757-562-6806
Mailing Address - Fax:757-562-2992
Practice Address - Street 1:700 CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:VA
Practice Address - Zip Code:23851-1872
Practice Address - Country:US
Practice Address - Phone:757-562-6806
Practice Address - Fax:757-562-2992
Is Sole Proprietor?:No
Enumeration Date:2018-01-24
Last Update Date:2018-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202002356235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA004978099Medicaid