Provider Demographics
NPI:1528188794
Name:DOXAKIS STEIN, MARGO (MFT PSYCOTHERAPIST)
Entity Type:Individual
Prefix:MS
First Name:MARGO
Middle Name:
Last Name:DOXAKIS STEIN
Suffix:
Gender:F
Credentials:MFT PSYCOTHERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 BUNGALOW DR
Mailing Address - Street 2:
Mailing Address - City:EL SEGUNDO
Mailing Address - State:CA
Mailing Address - Zip Code:90245
Mailing Address - Country:US
Mailing Address - Phone:310-379-4700
Mailing Address - Fax:310-379-0606
Practice Address - Street 1:509 N SEPULVEDA BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266
Practice Address - Country:US
Practice Address - Phone:310-379-4700
Practice Address - Fax:310-379-0606
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC28999103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No103T00000XBehavioral Health & Social Service ProvidersPsychologist