Provider Demographics
NPI:1053574525
Name:JAMES, MARGARET ROSE (CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ROSE
Last Name:JAMES
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1392 W CORKTREE CIR
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-1167
Mailing Address - Country:US
Mailing Address - Phone:434-960-1390
Mailing Address - Fax:
Practice Address - Street 1:1392 W CORKTREE CIR
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-1167
Practice Address - Country:US
Practice Address - Phone:434-960-1390
Practice Address - Fax:941-883-2911
Is Sole Proprietor?:No
Enumeration Date:2008-07-05
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202004152235Z00000X
FLSA10573235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist