Provider Demographics
NPI:1437205184
Name:HASS, MARGARET SLOUGH (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:SLOUGH
Last Name:HASS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4856 BROOK HIGHLAND CIR
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-2956
Mailing Address - Country:US
Mailing Address - Phone:205-758-2859
Mailing Address - Fax:
Practice Address - Street 1:507 ENERGY CENTER BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35473-5825
Practice Address - Country:US
Practice Address - Phone:205-345-5488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL745235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51528210OtherBLUE CROSS BLUE SHIELD