Provider Demographics
NPI:1932537123
Name:WEHNER, MARGARET CARROLL (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:CARROLL
Last Name:WEHNER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:MARGIE
Other - Middle Name:CARROLL
Other - Last Name:WEHNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:4040 SNYPP RD
Mailing Address - Street 2:
Mailing Address - City:YELLOW SPRINGS
Mailing Address - State:OH
Mailing Address - Zip Code:45387-9739
Mailing Address - Country:US
Mailing Address - Phone:937-430-4034
Mailing Address - Fax:
Practice Address - Street 1:4040 SNYPP RD
Practice Address - Street 2:
Practice Address - City:YELLOW SPRINGS
Practice Address - State:OH
Practice Address - Zip Code:45387-9739
Practice Address - Country:US
Practice Address - Phone:937-430-4034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-24
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.10550235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist