Provider Demographics
NPI:1386951804
Name:EPIFANO, MARY-MARGARET (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MARY-MARGARET
Middle Name:
Last Name:EPIFANO
Suffix:
Gender:F
Credentials:MS CCC-SLP
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Mailing Address - Street 1:2301 E EVESHAM RD
Mailing Address - Street 2:PAVILION 800, SUITE 209
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4501
Mailing Address - Country:US
Mailing Address - Phone:856-651-0060
Mailing Address - Fax:856-651-0061
Practice Address - Street 1:2301 E EVESHAM RD
Practice Address - Street 2:PAVILION 800, SUITE 209
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4501
Practice Address - Country:US
Practice Address - Phone:856-651-0060
Practice Address - Fax:856-651-0061
Is Sole Proprietor?:No
Enumeration Date:2010-09-03
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ41YS00657300235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist