Provider Demographics
NPI:1487766531
Name:O'CONNOR, MARGARET M (EDD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:M
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2140 SANBORN DR
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86336-3209
Mailing Address - Country:US
Mailing Address - Phone:928-554-5448
Mailing Address - Fax:
Practice Address - Street 1:70 N PAYNE PL
Practice Address - Street 2:SUITE 3
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86336-4536
Practice Address - Country:US
Practice Address - Phone:928-554-5443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK530103TC0700X
AZ4449103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical