Provider Demographics
NPI:1427291228
Name:COMBA, MARGARET CAPPI LANG I
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:CAPPI LANG
Last Name:COMBA
Suffix:I
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:CAPPI
Other - Middle Name:LANG
Other - Last Name:COMBA
Other - Suffix:I
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LPC
Mailing Address - Street 1:1411 S GALAXY LN
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86303-5293
Mailing Address - Country:US
Mailing Address - Phone:928-899-0827
Mailing Address - Fax:
Practice Address - Street 1:223 E UNION ST
Practice Address - Street 2:SUITE 1
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86303-3806
Practice Address - Country:US
Practice Address - Phone:928-899-0827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-09
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-0438101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional