Provider Demographics
NPI:1306979109
Name:BOATRIGHT, MARGARET ANN (MA)
Entity type:Individual
Prefix:MISS
First Name:MARGARET
Middle Name:ANN
Last Name:BOATRIGHT
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6533 N 7TH AVE
Mailing Address - Street 2:UNIT #24
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-1138
Mailing Address - Country:US
Mailing Address - Phone:602-622-0317
Mailing Address - Fax:
Practice Address - Street 1:2252 N 55TH AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85035-3706
Practice Address - Country:US
Practice Address - Phone:623-691-4818
Practice Address - Fax:623-691-4820
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool