Provider Demographics
NPI:1548922693
Name:MATSON, MARGARET (PSYD LMFT)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:MATSON
Suffix:
Gender:F
Credentials:PSYD LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 S BEVERLY DR STE 409
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-4807
Mailing Address - Country:US
Mailing Address - Phone:713-256-6822
Mailing Address - Fax:
Practice Address - Street 1:300 S BEVERLY DR STE 409
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-4807
Practice Address - Country:US
Practice Address - Phone:713-256-6822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46207101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health