Provider Demographics
NPI:1164296489
Name:DILLON, MARGARET L (LP-MHC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:L
Last Name:DILLON
Suffix:
Gender:F
Credentials:LP-MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 E 93RD ST APT 4
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-0609
Mailing Address - Country:US
Mailing Address - Phone:917-494-6115
Mailing Address - Fax:
Practice Address - Street 1:31 E 93RD ST APT 4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-0609
Practice Address - Country:US
Practice Address - Phone:917-494-6115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP125104101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health