Provider Demographics
NPI:1154812907
Name:CARLEY, MARGARET ISABEL (PHD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ISABEL
Last Name:CARLEY
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 1:121 WICKHAM TERRACE
Mailing Address - Street 2:ROOM 45
Mailing Address - City:SPRING HILL
Mailing Address - State:QUEENSLAND
Mailing Address - Zip Code:40000
Mailing Address - Country:AU
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:121 WICKHAM TERRACE
Practice Address - Street 2:ROOM 45
Practice Address - City:SPRING HILL
Practice Address - State:QUEENSLAND
Practice Address - Zip Code:40000
Practice Address - Country:AU
Practice Address - Phone:614-329-1213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-27
Last Update Date:2018-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8806103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty