Provider Demographics
NPI:1902184872
Name:HODGSON, MARGARET M (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:M
Last Name:HODGSON
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1735
Mailing Address - Street 2:
Mailing Address - City:VALLEY SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:95252-1735
Mailing Address - Country:US
Mailing Address - Phone:209-786-0887
Mailing Address - Fax:209-786-0887
Practice Address - Street 1:8014 JOSEPHINE LN
Practice Address - Street 2:
Practice Address - City:VALLEY SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:95252-9023
Practice Address - Country:US
Practice Address - Phone:209-786-0887
Practice Address - Fax:209-786-0887
Is Sole Proprietor?:No
Enumeration Date:2011-07-26
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP5148235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist