1497036503 NPI number — MS. MARGARET KATHRYN MACLACHLAN MA, CCC-SLP

Table of content: MS. MARGARET KATHRYN MACLACHLAN MA, CCC-SLP (NPI 1497036503)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497036503 NPI number — MS. MARGARET KATHRYN MACLACHLAN MA, CCC-SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MACLACHLAN
Provider First Name:
MARGARET
Provider Middle Name:
KATHRYN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MA, CCC-SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497036503
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/27/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1305 WALKER AVE NW
Provider Second Line Business Mailing Address:
C/O VILLA MARIA
Provider Business Mailing Address City Name:
GRAND RAPIDS
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49504-4098
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
616-459-9701
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
18302 W BURTON AVE
Provider Second Line Business Practice Location Address:
C/O MOUNTAIN VIEW ELEMENTARY
Provider Business Practice Location Address City Name:
WADDELL
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85355-4275
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
623-876-7450
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/01/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  12112685 ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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