Provider Demographics
NPI:1174993919
Name:ALLAN, MARGARET AILEEN (PSYD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:AILEEN
Last Name:ALLAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2277 TOWNSGATE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-2406
Mailing Address - Country:US
Mailing Address - Phone:805-496-9295
Mailing Address - Fax:
Practice Address - Street 1:2277 TOWNSGATE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-2406
Practice Address - Country:US
Practice Address - Phone:805-496-9295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-06
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS19911101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional