MEDICARE: MRS. MARGO ANN TURNER M.S./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	2349-154	WI

General Provider Information

NPI Number	:	1568418226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARGO ANN TURNER M.S./CCC-SLP

Provider Business Mailing Address
First Line	:	W173N5439 RAVENWOOD DR
Second Line	:
City	:	MENOMONEE FALLS
State	:	WI
Zip	:	53051-7843
Country	:	US
Telephone Number	:	262-703-9890
Fax Number	:

Provider Business Practice Location Address
First Line	:	6700 N PORT WASHINGTON RD
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53217-3919
Country	:	US
Telephone Number	:	414-351-8850
Fax Number	:

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

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	07/08/2007

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