Provider Demographics
NPI:1417013517
Name:CAVALLI, MARGARET S (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:S
Last Name:CAVALLI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:827 ACKERMAN DR
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-1847
Mailing Address - Country:US
Mailing Address - Phone:925-831-9321
Mailing Address - Fax:
Practice Address - Street 1:1600 SHATTUCK AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94709-1634
Practice Address - Country:US
Practice Address - Phone:510-220-4010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-31
Last Update Date:2014-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY26140103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical