Doctor Name: | MARGARET BAZARKO |
NPI Number: | 1649637901 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 22003634A |
Business Practice Address: | 5521 W Lincoln Hwy Suite 100 Crown Point, IN - 463071097 |
Business Phone Number: | 2197566100 |
Business Fax Number: | 2197566111 |
Mailing Address: | 5521 W Lincoln Hwy, Suite 100 CROWN POINT |
State: | IN |
Postal Code: | 463071097 |
Phone Number: | 2197566100 |
Fax Number: | 2197566111 |
NPI Enumeration Date: | 01/18/2016 |
NPI Last Update Date: | 01/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22003634A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |