Provider Demographics
NPI:1598163776
Name:WERNERSBACH, MARGARET BAKER (CCC-SLP, CCC-A)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:BAKER
Last Name:WERNERSBACH
Suffix:
Gender:F
Credentials:CCC-SLP, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5070 TYLERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-1012
Mailing Address - Country:US
Mailing Address - Phone:513-874-0175
Mailing Address - Fax:
Practice Address - Street 1:5070 TYLERSVILLE RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-1012
Practice Address - Country:US
Practice Address - Phone:513-874-0175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-19
Last Update Date:2014-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA.01385231H00000X
OHSP.7409235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist