Provider Demographics
NPI:1457342933
Name:ATKINSON, MARGARET ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ANN
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:520 N BROOKHURST ST
Mailing Address - Street 2:STE 135
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-5235
Mailing Address - Country:US
Mailing Address - Phone:714-964-2728
Mailing Address - Fax:714-778-6187
Practice Address - Street 1:520 N BROOKHURST ST
Practice Address - Street 2:STE 135
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-5235
Practice Address - Country:US
Practice Address - Phone:714-964-2728
Practice Address - Fax:714-778-6187
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY3409103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPSY034090Medicaid
CAPSY034090Medicaid
CAR25472Medicare UPIN
CACP3409Medicare PIN