Provider Demographics
NPI:1942377205
Name:CARTER, MARGARET PEGGY (MFT)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:PEGGY
Last Name:CARTER
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 1:6550 S PECOS RD
Mailing Address - Street 2:#B-127
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-2828
Mailing Address - Country:US
Mailing Address - Phone:702-226-3516
Mailing Address - Fax:702-898-0465
Practice Address - Street 1:6550 S PECOS RD
Practice Address - Street 2:#B-127
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-2828
Practice Address - Country:US
Practice Address - Phone:702-226-3516
Practice Address - Fax:702-898-0465
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMFT0110106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
133020OtherCOMPSYCH
A847534OtherVALUE OPTIONS