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NPI Code Detail

MEDICARE: MARGARET KATHLEEN GARDNER

MEDICARE: MARGARET KATHLEEN GARDNER
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
1235Z00000XSpeech-Language PathologistSP.7150OH

General Provider Information

NPI Number : 1205233160
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET KATHLEEN GARDNER
Provider Business Mailing Address
First Line : 618 3RD ST NW
Second Line :
City : NEW PHILADELPHIA
State : OH
Zip : 44663-1707
Country : US
Telephone Number : 330-308-9939
Fax Number :
Provider Business Practice Location Address
First Line : 834 E HIGH AVE
Second Line :
City : NEW PHILADELPHIA
State : OH
Zip : 44663-3052
Country : US
Telephone Number : 330-308-9939
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2014
Last Update Date : 11/20/2014

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Directions to “ MARGARET KATHLEEN GARDNER ” Practice Location

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