Provider Demographics
NPI:1386721975
Name:TREMAYNE, MARGARET E (MFT)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:E
Last Name:TREMAYNE
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MS
Other - First Name:MARGARET
Other - Middle Name:T
Other - Last Name:FUSSGANGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2960 CROWNVIEW DRIVE
Mailing Address - Street 2:
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90575
Mailing Address - Country:US
Mailing Address - Phone:310-832-5083
Mailing Address - Fax:310-373-1135
Practice Address - Street 1:24050 MADISON ST
Practice Address - Street 2:STE 100 R
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90575
Practice Address - Country:US
Practice Address - Phone:310-378-3530
Practice Address - Fax:310-373-1135
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MKC33104106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist