Provider Demographics
NPI:1992749295
Name:BURGGRAF, MARGARET ZEIDLER (PHD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ZEIDLER
Last Name:BURGGRAF
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 N 9TH ST
Mailing Address - Street 2:SUITE #201D
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29169-6710
Mailing Address - Country:US
Mailing Address - Phone:803-739-8835
Mailing Address - Fax:
Practice Address - Street 1:150 N 9TH ST
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-6710
Practice Address - Country:US
Practice Address - Phone:803-739-8835
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC228103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist