Provider Demographics
NPI:1497897060
Name:ALVAREZ, MARGARITA M (PH D)
Entity Type:Individual
Prefix:DR
First Name:MARGARITA
Middle Name:M
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1018 BEACON STREET
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446
Mailing Address - Country:US
Mailing Address - Phone:617-277-2424
Mailing Address - Fax:
Practice Address - Street 1:1018 BEACON STREET
Practice Address - Street 2:SUITE 300
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446
Practice Address - Country:US
Practice Address - Phone:617-277-2424
Practice Address - Fax:617-277-2400
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4349103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW04679OtherBLUE CROSS BLUE SHIELD