Provider Demographics
NPI:1386670560
Name:KOHLER, MARGARET (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:
Last Name:KOHLER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1757 BRENTWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11717-5511
Mailing Address - Country:US
Mailing Address - Phone:631-951-9702
Mailing Address - Fax:631-951-9702
Practice Address - Street 1:1757 BRENTWOOD RD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:NY
Practice Address - Zip Code:11717-5511
Practice Address - Country:US
Practice Address - Phone:631-951-9702
Practice Address - Fax:631-951-9702
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015575-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV620V1Medicare ID - Type UnspecifiedCLINICAL PSYCHOLOGIST