Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 30895 | TX |
N | 103TC0700X | Clinical Psychologist | 30895 | TX |
Y | 103G00000X | Clinical Psychologist | 30977 | CA |
Y | 103TC0700X | Clinical Psychologist | 30977 | CA |
N | 103TR0400X | Rehabilitation Psychologist | 30895 | TX |
N | 103TR0400X | Rehabilitation Psychologist | 30977 | CA |
NPI | 1114361995 |
---|---|
Provider Name | Margaret Ann Struchen |
First Address | Walnut Creek, CA 94595-5043 |
Second Address | Campbell, CA 95008-3200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2013 |
Last Update Date | 05/12/2019 |