Healthcare Provider Details

I. General information

NPI: 1487865085
Provider Name (Legal Business Name): MARGARET CHRISTOPHER PH D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1766 MOUNTAIN VIEW DR
MONROEVILLE PA
15146-2057
US

IV. Provider business mailing address

1766 MOUNTAIN VIEW DR
MONROEVILLE PA
15146-2057
US

V. Phone/Fax

Practice location:
  • Phone: 724-733-2928
  • Fax:
Mailing address:
  • Phone: 724-733-2928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW001521E
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier251759317
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerCOMMERCIAL
# 2
Identifier638999
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerBLUES

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: