Provider Demographics
NPI:1508069782
Name:BROWN, MARGOT ELLEN (LMFT PSYD)
Entity Type:Individual
Prefix:MRS
First Name:MARGOT
Middle Name:ELLEN
Last Name:BROWN
Suffix:
Gender:F
Credentials:LMFT PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3268
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94064-3268
Mailing Address - Country:US
Mailing Address - Phone:650-464-0715
Mailing Address - Fax:650-365-9782
Practice Address - Street 1:401 WARREN ST
Practice Address - Street 2:#300
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-1578
Practice Address - Country:US
Practice Address - Phone:650-464-0715
Practice Address - Fax:650-365-9782
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC32053106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist