Healthcare Provider Details

I. General information

NPI: 1871919159
Provider Name (Legal Business Name): MARGARET ADELE KEYSER LMFT, SCHOOL PSYCHOL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARGARET ADELE BALCH

II. Dates (important events)

Enumeration Date: 03/11/2014
Last Update Date: 03/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3914 MURPHY CANYON RD SUITE A - 170
SAN DIEGO CA
92123-4491
US

IV. Provider business mailing address

4338 STANFORD ST
CARLSBAD CA
92010-7922
US

V. Phone/Fax

Practice location:
  • Phone: 858-279-6721
  • Fax:
Mailing address:
  • Phone: 818-314-5204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT 31349
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: