Provider Demographics
NPI:1215162011
Name:WOOD, MARGARET LOUISE (MS/CCC SLP)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:LOUISE
Last Name:WOOD
Suffix:
Gender:F
Credentials:MS/CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 ACEQUIA BORRADA
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-7157
Mailing Address - Country:US
Mailing Address - Phone:505-424-1457
Mailing Address - Fax:
Practice Address - Street 1:1420 ACEQUIA BORRADA W
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-7157
Practice Address - Country:US
Practice Address - Phone:505-424-1457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-21
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM466235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist