MEDICARE: MS. MARGERY ANNETTE HANDY M.A., 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	146.005425	IL

General Provider Information

NPI Number	:	1255582722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARGERY ANNETTE HANDY M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	4212 N BELT W
Second Line	:
City	:	BELLEVILLE
State	:	IL
Zip	:	62226-5614
Country	:	US
Telephone Number	:	618-277-7323
Fax Number	:

Provider Business Practice Location Address
First Line	:	4212 N BELT W
Second Line	:
City	:	BELLEVILLE
State	:	IL
Zip	:	62226-5614
Country	:	US
Telephone Number	:	618-277-7323
Fax Number	:

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

Provider Enumeration Date	:	10/02/2008
Last Update Date	:	10/02/2008

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Directions to “ MS. MARGERY ANNETTE HANDY M.A., CCC-SLP” Practice Location

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