Provider Demographics
NPI:1811225758
Name:LIM, MARGARET BRITT (MFT)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:BRITT
Last Name:LIM
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:585 CAPISTRANO WAY
Mailing Address - Street 2:
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-8550
Mailing Address - Country:US
Mailing Address - Phone:650-723-4577
Mailing Address - Fax:
Practice Address - Street 1:585 CAPISTRANO WAY
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-8550
Practice Address - Country:US
Practice Address - Phone:650-723-4577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-04
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC27925106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist