Individual
MARGARET L. DHOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
100 NAVARRE PL STE 4460, SOUTH BEND, IN 46601-1168
(574) 235-1010
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
(574) 237-6069
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006306A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201347970
—
IN
01
—
261970148
MEDICARE PTAN
IN
Enumeration date
12/31/2015
Last updated
04/26/2021
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