MEDICARE: MS. EMILY MARGALIT M.A.

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	54788	CA

General Provider Information

NPI Number	:	1356520472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EMILY MARGALIT M.A.

Provider Business Mailing Address
First Line	:	PO BOX 5481
Second Line	:
City	:	REDWOOD CITY
State	:	CA
Zip	:	94063-0481
Country	:	US
Telephone Number	:	510-237-0113
Fax Number	:

Provider Business Practice Location Address
First Line	:	2101 VAN NESS ST
Second Line	:
City	:	SAN PABLO
State	:	CA
Zip	:	94806-3622
Country	:	US
Telephone Number	:	510-237-0113
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2007
Last Update Date	:	10/25/2007

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