Provider Demographics
NPI:1871665059
Name:MINEHART, MARGARET A (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:A
Last Name:MINEHART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1326 SPRUCE ST
Mailing Address - Street 2:#1701
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5826
Mailing Address - Country:US
Mailing Address - Phone:215-685-5460
Mailing Address - Fax:215-685-5467
Practice Address - Street 1:1326 SPRUCE ST
Practice Address - Street 2:#1701
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19107-5826
Practice Address - Country:US
Practice Address - Phone:215-685-5460
Practice Address - Fax:215-685-5467
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD037893L101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional