Provider Demographics
NPI:1942367297
Name:MARTIN, MARGARET ROSE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:ROSE
Last Name:MARTIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1364 WELSH RD STE C-3
Mailing Address - Street 2:WELSH COMMONS
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-1913
Mailing Address - Country:US
Mailing Address - Phone:215-699-6001
Mailing Address - Fax:267-631-8082
Practice Address - Street 1:1364 WELSH RD STE C-3
Practice Address - Street 2:WELSH COMMONS
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454-1913
Practice Address - Country:US
Practice Address - Phone:215-699-6001
Practice Address - Fax:267-631-8082
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000275101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health