Provider Demographics
NPI:1952725467
Name:TORRENGA, MARGUERITE (MA)
Entity Type:Individual
Prefix:
First Name:MARGUERITE
Middle Name:
Last Name:TORRENGA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 SAMARITAN DR
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-2354
Mailing Address - Country:US
Mailing Address - Phone:978-491-7008
Mailing Address - Fax:
Practice Address - Street 1:125 SAMARITAN DR
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-2354
Practice Address - Country:US
Practice Address - Phone:978-491-7008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-05
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ6546235Z00000X
GASLP011105235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist