Provider Demographics
NPI:1467527986
Name:TORRANCE, MARGE IURATO (MSW, PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARGE
Middle Name:IURATO
Last Name:TORRANCE
Suffix:
Gender:F
Credentials:MSW, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2140 SHATTUCK AVENUE
Mailing Address - Street 2:SUITE 711
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704
Mailing Address - Country:US
Mailing Address - Phone:609-924-1277
Mailing Address - Fax:609-688-1800
Practice Address - Street 1:2140 SHATTUCK AVENUE
Practice Address - Street 2:SUITE 711
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704
Practice Address - Country:US
Practice Address - Phone:510-982-6162
Practice Address - Fax:415-484-7813
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100325100103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ090033Medicare ID - Type Unspecified