Provider Demographics
NPI:1093364986
Name:SORENSEN, MARGARET (MA, CF-SLP)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:
Last Name:SORENSEN
Suffix:
Gender:F
Credentials:MA, CF-SLP
Other - Prefix:MS
Other - First Name:MOLLY
Other - Middle Name:
Other - Last Name:SORENSEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:201 N TOWNSHIP ST
Mailing Address - Street 2:
Mailing Address - City:SEDRO WOOLLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98284-1245
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:201 N TOWNSHIP ST
Practice Address - Street 2:
Practice Address - City:SEDRO WOOLLEY
Practice Address - State:WA
Practice Address - Zip Code:98284-1245
Practice Address - Country:US
Practice Address - Phone:360-855-3096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA560277F235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist