Provider Demographics
NPI:1134637036
Name:MCMILLAN, MARGARET HARTZELL
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:HARTZELL
Last Name:MCMILLAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 WESTSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-3207
Mailing Address - Country:US
Mailing Address - Phone:410-733-3955
Mailing Address - Fax:
Practice Address - Street 1:426 WESTSHIRE DR
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-3207
Practice Address - Country:US
Practice Address - Phone:410-733-3955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-14
Last Update Date:2018-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD075041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical