Provider Demographics
NPI:1871745489
Name:EARNEST, MARGARET MOFFITT (PHD, CCC-SLP)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:MOFFITT
Last Name:EARNEST
Suffix:
Gender:F
Credentials:PHD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 HOMESTEAD LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:CT
Mailing Address - Zip Code:06237-1346
Mailing Address - Country:US
Mailing Address - Phone:860-228-1369
Mailing Address - Fax:
Practice Address - Street 1:15 HOMESTEAD LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:CT
Practice Address - Zip Code:06237-1346
Practice Address - Country:US
Practice Address - Phone:860-228-1369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-14
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002264235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist