Provider Demographics
NPI:1881202828
Name:DORAN, MARGARET JEAN (SLP)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:JEAN
Last Name:DORAN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 BARCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-6121
Mailing Address - Country:US
Mailing Address - Phone:210-393-7456
Mailing Address - Fax:
Practice Address - Street 1:718 BARCHESTER DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-6121
Practice Address - Country:US
Practice Address - Phone:210-393-7456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-15
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19349235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist