Provider Demographics
NPI:1992859755
Name:MARGOLIS, MEREDITH ROBINS (PHD)
Entity Type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:ROBINS
Last Name:MARGOLIS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1045 S CEDAR CREST BLVD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-5443
Mailing Address - Country:US
Mailing Address - Phone:610-433-3360
Mailing Address - Fax:610-432-3110
Practice Address - Street 1:1045 S CEDAR CREST BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-5443
Practice Address - Country:US
Practice Address - Phone:610-433-3360
Practice Address - Fax:610-432-3110
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-004825-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02303300OtherCAPITAL BLUE CROSS GROUP
PA484906OtherHIGHMARK BLUE SHIELD PROV
PA790963391OtherDUNS NO.
PA01079901OtherCAPITAL BLUE CROSS PROVID
PA1336100387OtherVALLEY PSYCHOLOGICAL ASSO
PA232429262OtherTAX IDENTIFICATION NO.
PA484906OtherHIGHMARK BLUE SHIELD PROV
PA232429262OtherTAX ID NUMBER
PA484906OtherHIGHMARK BLUE SHIELD PROV