Provider Demographics
NPI:1427800630
Name:WHITE, MARGARET (MCD, CCC-SLP)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:WHITE
Suffix:
Gender:F
Credentials:MCD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1055 SAINT CHARLES AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-3994
Mailing Address - Country:US
Mailing Address - Phone:504-373-6269
Mailing Address - Fax:
Practice Address - Street 1:1055 SAINT CHARLES AVE STE 400
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-3994
Practice Address - Country:US
Practice Address - Phone:504-373-6269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
14158848235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist