Provider Demographics
NPI:1932419207
Name:ROUTSON, MARGUERITE E (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MARGUERITE
Middle Name:E
Last Name:ROUTSON
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:MARGUERITE
Other - Middle Name:
Other - Last Name:ROUTSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2663 SYBILLE DR.
Mailing Address - Street 2:
Mailing Address - City:LARAMIE
Mailing Address - State:WY
Mailing Address - Zip Code:82070
Mailing Address - Country:US
Mailing Address - Phone:307-745-8331
Mailing Address - Fax:
Practice Address - Street 1:DEPT. 3311 - 1000 E. UNIVERSITY AVE.
Practice Address - Street 2:
Practice Address - City:LARAMIE
Practice Address - State:WY
Practice Address - Zip Code:82071
Practice Address - Country:US
Practice Address - Phone:307-766-6426
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYSP-583235Z00000X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist