Provider Demographics
NPI:1205584216
Name:MARGARETTEN, AMBER ROSE (MA, LPA, HSP-PA)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:ROSE
Last Name:MARGARETTEN
Suffix:
Gender:F
Credentials:MA, LPA, HSP-PA
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:ROSE
Other - Last Name:IVEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7048 KNIGHTDALE BLVD STE 220B
Mailing Address - Street 2:
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-8894
Mailing Address - Country:US
Mailing Address - Phone:919-815-9209
Mailing Address - Fax:984-355-1990
Practice Address - Street 1:7048 KNIGHTDALE BLVD STE 200B
Practice Address - Street 2:
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-8894
Practice Address - Country:US
Practice Address - Phone:984-279-2625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-17
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist