Provider Demographics
NPI:1720244171
Name:PRICE, MARGARET (MARGIE) M (SPEECH-LANGUAGE PATH)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET (MARGIE)
Middle Name:M
Last Name:PRICE
Suffix:
Gender:F
Credentials:SPEECH-LANGUAGE PATH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 JAY LANE
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72802
Mailing Address - Country:US
Mailing Address - Phone:479-968-3315
Mailing Address - Fax:
Practice Address - Street 1:1601 W 12TH ST
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:AR
Practice Address - Zip Code:72801-6524
Practice Address - Country:US
Practice Address - Phone:479-968-2134
Practice Address - Fax:479-968-7973
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-05
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP519235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist