Healthcare Provider Details

I. General information

NPI: 1316017973
Provider Name (Legal Business Name): MARGARET L. GUNTER M.S., SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

895 ROBERTA LN STE 101A
SPARKS NV
89431-1898
US

IV. Provider business mailing address

PO BOX 52199
SPARKS NV
89435-2199
US

V. Phone/Fax

Practice location:
  • Phone: 775-825-4744
  • Fax: 775-351-1644
Mailing address:
  • Phone: 775-825-4744
  • Fax: 775-351-1644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSPA-1088
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: