Provider Demographics
NPI:1215319744
Name:BOWEN, MARGARET (MSPCCCSLP)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:
Last Name:BOWEN
Suffix:
Gender:F
Credentials:MSPCCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 16496
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23328-6496
Mailing Address - Country:US
Mailing Address - Phone:757-547-0153
Mailing Address - Fax:
Practice Address - Street 1:312 CEDAR RD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-5514
Practice Address - Country:US
Practice Address - Phone:757-547-0153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-20
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202007154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist