Provider Demographics
NPI:1558804377
Name:SPIETH, MARGARET
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:SPIETH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 72ND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-2102
Mailing Address - Country:US
Mailing Address - Phone:718-748-7404
Mailing Address - Fax:718-836-9265
Practice Address - Street 1:211 72ND ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-2102
Practice Address - Country:US
Practice Address - Phone:718-748-7404
Practice Address - Fax:718-836-9265
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-28
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024230235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist