Doctor Name: | MS. MARGARET SUE NINNEMAN |
NPI Number: | 1295721298 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SP5108 |
Business Practice Address: | 1350 Reche Canyon Rd Colton, CA - 923249528 |
Business Phone Number: | 9093704411 |
Business Fax Number: | |
Mailing Address: | 4744 Windsor Rd, RIVERSIDE |
State: | CA |
Postal Code: | 925075895 |
Phone Number: | 9516800821 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP5108 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |