Provider Demographics
NPI:1083065304
Name:FRANK, MARGAUX ISABELLA SMITH (SLP)
Entity type:Individual
Prefix:
First Name:MARGAUX
Middle Name:ISABELLA SMITH
Last Name:FRANK
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 2ND ST APT 2
Mailing Address - Street 2:
Mailing Address - City:TURNERS FALLS
Mailing Address - State:MA
Mailing Address - Zip Code:01376-1110
Mailing Address - Country:US
Mailing Address - Phone:413-636-0025
Mailing Address - Fax:
Practice Address - Street 1:28 2ND ST APT 2
Practice Address - Street 2:
Practice Address - City:TURNERS FALLS
Practice Address - State:MA
Practice Address - Zip Code:01376-1110
Practice Address - Country:US
Practice Address - Phone:413-636-0025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-28
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT144.0134384235Z00000X
MASLP77822235Z00000X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist