Provider Demographics
NPI:1053851592
Name:RATINER, MARGARET (PHD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:RATINER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 LINCOLN RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:LINCOLN
Mailing Address - State:MA
Mailing Address - Zip Code:01773-3834
Mailing Address - Country:US
Mailing Address - Phone:978-376-0795
Mailing Address - Fax:
Practice Address - Street 1:160 LINCOLN RD
Practice Address - Street 2:SUITE 204
Practice Address - City:LINCOLN
Practice Address - State:MA
Practice Address - Zip Code:01773-3834
Practice Address - Country:US
Practice Address - Phone:978-376-0795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-02
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7301103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent