Provider Demographics
NPI:1770818262
Name:GUEST, MARGARET M (PHD)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:M
Last Name:GUEST
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:PEGGY
Other - Middle Name:
Other - Last Name:GUEST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:130 S BEMISTON AVE
Mailing Address - Street 2:SUITE 710
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63105-1913
Mailing Address - Country:US
Mailing Address - Phone:314-863-1007
Mailing Address - Fax:
Practice Address - Street 1:130 S BEMISTON AVE
Practice Address - Street 2:SUITE 710
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63105-1913
Practice Address - Country:US
Practice Address - Phone:314-863-1007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-16
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO827103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist