Provider Demographics
NPI:1265456396
Name:MARGOLIES, JOAN (MS, MFT)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:MARGOLIES
Suffix:
Gender:F
Credentials:MS, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 MIDDLEFIELD RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-4002
Mailing Address - Country:US
Mailing Address - Phone:650-324-8565
Mailing Address - Fax:650-324-8565
Practice Address - Street 1:200 MIDDLEFIELD RD
Practice Address - Street 2:SUITE 100
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4002
Practice Address - Country:US
Practice Address - Phone:650-324-8565
Practice Address - Fax:650-324-8565
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC8608106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist