Provider Demographics
NPI:1205812633
Name:NAPOLETANO, MARGO ANN
Entity Type:Individual
Prefix:DR
First Name:MARGO
Middle Name:ANN
Last Name:NAPOLETANO
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:PO BOX 910566
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-0566
Mailing Address - Country:US
Mailing Address - Phone:858-523-1617
Mailing Address - Fax:858-793-0642
Practice Address - Street 1:741 GARDEN VIEW CT
Practice Address - Street 2:SUITE 205
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024
Practice Address - Country:US
Practice Address - Phone:858-523-1617
Practice Address - Fax:858-793-0642
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-18
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY12248103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACP12248AMedicare UPIN