MEDICARE: MARGARET SUMMERFORD WELDEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	15139	FL

General Provider Information

NPI Number	:	1083444608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET SUMMERFORD WELDEN

Provider Business Mailing Address
First Line	:	546 MEADOW RIDGE DR
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32312-1575
Country	:	US
Telephone Number	:	850-556-6976
Fax Number	:

Provider Business Practice Location Address
First Line	:	2937 KERRY FOREST PKWY STE B1
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32309-7800
Country	:	US
Telephone Number	:	850-890-4852
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2024
Last Update Date	:	08/07/2024

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Directions to “ MARGARET SUMMERFORD WELDEN ” Practice Location

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