Healthcare Provider Details

I. General information

NPI: 1356511190
Provider Name (Legal Business Name): MARGARET ANN PIKORA M.A., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2008
Last Update Date: 03/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10094 LITZSINGER RD
SAINT LOUIS MO
63124-1132
US

IV. Provider business mailing address

15825 MANCHESTER RD SUITE 209
ELLISVILLE MO
63011-2263
US

V. Phone/Fax

Practice location:
  • Phone: 636-391-9622
  • Fax: 636-391-9236
Mailing address:
  • Phone: 636-391-9622
  • Fax: 636-391-9236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number01980
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number001211
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: