Provider Demographics
NPI:1740689298
Name:PEREZ, MARGARITA (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:MARGARITA
Middle Name:
Last Name:PEREZ
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 1:3446 CONNECTICUT AVE NW APT 403
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-1303
Mailing Address - Country:US
Mailing Address - Phone:305-282-4554
Mailing Address - Fax:
Practice Address - Street 1:5272 RIVER RD
Practice Address - Street 2:SUITE 300
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20816-1405
Practice Address - Country:US
Practice Address - Phone:301-718-1716
Practice Address - Fax:301-718-1766
Is Sole Proprietor?:No
Enumeration Date:2014-08-21
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ 6746235Z00000X
MD08016235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist