Provider Demographics
NPI:1902156672
Name:SPENCER, MARGARET M (MS-CCCSLP)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:M
Last Name:SPENCER
Suffix:
Gender:F
Credentials:MS-CCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3323 SEAWIND CIR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99516-3465
Mailing Address - Country:US
Mailing Address - Phone:907-345-0772
Mailing Address - Fax:
Practice Address - Street 1:3323 SEAWIND CIR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99516-3465
Practice Address - Country:US
Practice Address - Phone:907-345-0772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-11
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK357235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist