Provider Demographics
NPI:1184407496
Name:OBRIEN, MARGARET ERIN (CF-SLP)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ERIN
Last Name:OBRIEN
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3658 BLUFF VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-6684
Mailing Address - Country:US
Mailing Address - Phone:636-284-5734
Mailing Address - Fax:
Practice Address - Street 1:1230 TOM GINNEVER AVE
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63366-4406
Practice Address - Country:US
Practice Address - Phone:636-272-4447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023032338235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist