MEDICARE: MARGARET CARROLL WEHNER MA, 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	SP.10550	OH

General Provider Information

NPI Number	:	1932537123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET CARROLL WEHNER MA, CCC-SLP

Provider Business Mailing Address
First Line	:	4040 SNYPP RD
Second Line	:
City	:	YELLOW SPRINGS
State	:	OH
Zip	:	45387-9739
Country	:	US
Telephone Number	:	937-430-4034
Fax Number	:

Provider Business Practice Location Address
First Line	:	4040 SNYPP RD
Second Line	:
City	:	YELLOW SPRINGS
State	:	OH
Zip	:	45387-9739
Country	:	US
Telephone Number	:	937-430-4034
Fax Number	:

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

Provider Enumeration Date	:	10/24/2013
Last Update Date	:	10/24/2013

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