Provider Demographics
NPI:1366595761
Name:COTTON, MARGARET THOM (SLP)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:THOM
Last Name:COTTON
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3073 W CANYON BROOK TRL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85742-8708
Mailing Address - Country:US
Mailing Address - Phone:520-370-2352
Mailing Address - Fax:520-544-9497
Practice Address - Street 1:7368 N. LA CHOLLA BLVD
Practice Address - Street 2:PANACEA THERAPEUTICS
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-2305
Practice Address - Country:US
Practice Address - Phone:520-370-2352
Practice Address - Fax:520-544-9497
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP1078235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZSLP1078OtherHEALTH LICENSE