Provider Demographics
NPI:1548503857
Name:MCEWEN, MARGARET
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:MCEWEN
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 1:301 OLD HIGHWAY 99 SE
Mailing Address - Street 2:
Mailing Address - City:TENINO
Mailing Address - State:WA
Mailing Address - Zip Code:98589-9370
Mailing Address - Country:US
Mailing Address - Phone:360-264-3408
Mailing Address - Fax:360-264-3438
Practice Address - Street 1:301 CENTRAL AVE E
Practice Address - Street 2:301 OLD HWY 99 N
Practice Address - City:TENINO
Practice Address - State:WA
Practice Address - Zip Code:98589-8724
Practice Address - Country:US
Practice Address - Phone:360-264-3408
Practice Address - Fax:360-264-3438
Is Sole Proprietor?:No
Enumeration Date:2013-04-04
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA317607J235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA317607JOtherEDUCATION CERTIFICATION