MEDICARE: MARGARET THURMAN, MFT

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
1	106H00000X	Marriage & Family Therapist	MFT23234	CA

General Provider Information

NPI Number	:	1174667919
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARGARET THURMAN, MFT

Provider Business Mailing Address
First Line	:	2231 CAMINO DEL RIO S
Second Line	:	STE 308
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3612
Country	:	US
Telephone Number	:	619-685-7399
Fax Number	:	951-245-0309

Provider Business Practice Location Address
First Line	:	2231 CAMINO DEL RIO S
Second Line	:	STE 308
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3612
Country	:	US
Telephone Number	:	619-685-7399
Fax Number	:	951-245-0309

Authorized Official
Title or Position	:	OWNER
Name	:	MS. PEGGY THURMAN
Credential	:	MFT
Telephone Number	:	619-685-7399

Provider Enumeration Date	:	02/16/2007
Last Update Date	:	08/22/2020

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