Provider Demographics
NPI:1801173729
Name:LAVI DEO, MARGARET H (SLP)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:H
Last Name:LAVI DEO
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 GLENBY LN
Mailing Address - Street 2:
Mailing Address - City:GLEN HEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11545-3202
Mailing Address - Country:US
Mailing Address - Phone:516-626-9179
Mailing Address - Fax:
Practice Address - Street 1:11 GLENBY LN
Practice Address - Street 2:
Practice Address - City:GLEN HEAD
Practice Address - State:NY
Practice Address - Zip Code:11545-3202
Practice Address - Country:US
Practice Address - Phone:516-626-9179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-06
Last Update Date:2011-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016114235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist