Provider Demographics
NPI:1871919159
Name:KEYSER, MARGARET ADELE (LMFT, SCHOOL PSYCHOL)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ADELE
Last Name:KEYSER
Suffix:
Gender:F
Credentials:LMFT, SCHOOL PSYCHOL
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:ADELE
Other - Last Name:BALCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4338 STANFORD ST
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92010-7922
Mailing Address - Country:US
Mailing Address - Phone:818-314-5204
Mailing Address - Fax:
Practice Address - Street 1:3914 MURPHY CANYON RD
Practice Address - Street 2:SUITE A - 170
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4491
Practice Address - Country:US
Practice Address - Phone:858-279-6721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-11
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103TS0200X
CALMFT 31349106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool