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NPI Code Detail

MEDICARE: MRS. MARGOT ELLEN BROWN LMFT PSYD

MEDICARE: MRS. MARGOT ELLEN BROWN LMFT PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistMFC32053CA

General Provider Information

NPI Number : 1508069782
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARGOT ELLEN BROWN LMFT PSYD
Provider Business Mailing Address
First Line : PO BOX 3268
Second Line :
City : REDWOOD CITY
State : CA
Zip : 94064-3268
Country : US
Telephone Number : 650-464-0715
Fax Number : 650-365-9782
Provider Business Practice Location Address
First Line : 401 WARREN ST
Second Line : #300
City : REDWOOD CITY
State : CA
Zip : 94063-1578
Country : US
Telephone Number : 650-464-0715
Fax Number : 650-365-9782
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2007
Last Update Date : 02/07/2012

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