Provider Demographics
NPI:1023379484
Name:CARTER, MARGENA LORINE (MA)
Entity Type:Individual
Prefix:MRS
First Name:MARGENA
Middle Name:LORINE
Last Name:CARTER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:932 N ALMA AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90063-2724
Mailing Address - Country:US
Mailing Address - Phone:310-654-9833
Mailing Address - Fax:
Practice Address - Street 1:932 N ALMA AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90063-2724
Practice Address - Country:US
Practice Address - Phone:310-654-9833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-01
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist