Provider Demographics
NPI:1275639320
Name:MARGARET L. PRATHER D.O. INC
Entity Type:Organization
Organization Name:MARGARET L. PRATHER D.O. INC
Other - Org Name:ALLEGHENY ASSOCIATES IN PSYCHIATRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PSYCHIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:L
Authorized Official - Last Name:PRATHER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:724-224-9333
Mailing Address - Street 1:805 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:NATRONA HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:15065-2413
Mailing Address - Country:US
Mailing Address - Phone:724-224-9333
Mailing Address - Fax:724-224-5155
Practice Address - Street 1:805 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:NATRONA HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:15065-2413
Practice Address - Country:US
Practice Address - Phone:724-224-9333
Practice Address - Fax:724-224-5155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006975L103TC0700X
PACW0126091041C0700X
PACW0136881041C0700X
PAOS007354E2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7747974Medicaid
PA7747974Medicaid
PA056687Medicare ID - Type Unspecified