Provider Demographics
NPI:1871637819
Name:LINDT, MARGARET BRAVER (MFT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:BRAVER
Last Name:LINDT
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 1:448 MITCHELL DR
Mailing Address - Street 2:
Mailing Address - City:LOS OSOS
Mailing Address - State:CA
Mailing Address - Zip Code:93402-2024
Mailing Address - Country:US
Mailing Address - Phone:559-280-3047
Mailing Address - Fax:805-534-9032
Practice Address - Street 1:645 MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:MORRO BAY
Practice Address - State:CA
Practice Address - Zip Code:93442-2200
Practice Address - Country:US
Practice Address - Phone:805-534-9031
Practice Address - Fax:805-534-9032
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC29398106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist