MEDICARE: MS. MARGHERITA D WHITMAN CCC/SLP

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	SL002015L	PA

General Provider Information

NPI Number	:	1093964827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARGHERITA D WHITMAN CCC/SLP

Provider Business Mailing Address
First Line	:	7830 LEXINGTON AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19152-3501
Country	:	US
Telephone Number	:	215-331-4464
Fax Number	:

Provider Business Practice Location Address
First Line	:	7830 LEXINGTON AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19152-3501
Country	:	US
Telephone Number	:	215-331-4464
Fax Number	:

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

Provider Enumeration Date	:	09/17/2008
Last Update Date	:	09/17/2008

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