Provider Demographics
NPI:1932261583
Name:BURTON, MARGARET E (PSYD, PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:E
Last Name:BURTON
Suffix:
Gender:F
Credentials:PSYD, PSYCHOLOGIST
Other - Prefix:DR
Other - First Name:MARGIE
Other - Middle Name:E
Other - Last Name:BURTON-FLORES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD-PSYCHOLOGIST
Mailing Address - Street 1:303 41ST ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94805-2221
Mailing Address - Country:US
Mailing Address - Phone:510-374-7204
Mailing Address - Fax:
Practice Address - Street 1:303 41ST ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94805-2221
Practice Address - Country:US
Practice Address - Phone:510-552-0819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY18564103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical