Provider Demographics
NPI:1891010443
Name:CLAPHAM, MARGUERITE
Entity Type:Individual
Prefix:
First Name:MARGUERITE
Middle Name:
Last Name:CLAPHAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22800 CIVIC CENTER DR
Mailing Address - Street 2:STE 129
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-7118
Mailing Address - Country:US
Mailing Address - Phone:248-746-2630
Mailing Address - Fax:
Practice Address - Street 1:22800 CIVIC CENTER DR
Practice Address - Street 2:STE 129
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-7118
Practice Address - Country:US
Practice Address - Phone:248-746-2630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-06
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist