Provider Demographics
NPI:1083444608
Name:WELDEN, MARGARET SUMMERFORD
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:SUMMERFORD
Last Name:WELDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:546 MEADOW RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32312-1575
Mailing Address - Country:US
Mailing Address - Phone:850-556-6976
Mailing Address - Fax:
Practice Address - Street 1:2937 KERRY FOREST PKWY STE B1
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32309-7800
Practice Address - Country:US
Practice Address - Phone:850-890-4852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15139235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist