Individual
DR. ELLEN BETH MARGOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3551 FRONT ST, SAN DIEGO, CA 92103-4815
(619) 295-7094
(619) 291-0158
Mailing address
3551 FRONT ST, SAN DIEGO, CA 92103-4815
(619) 295-7094
(619) 291-0158
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY7301
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY7301
MEDICAL UD NUMBER
CA
Enumeration date
03/05/2007
Last updated
07/08/2007
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