Provider Demographics
NPI:1255410171
Name:BOWMAN, MARGARET J (PSYD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:J
Last Name:BOWMAN
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 1:5224 HONEYLOCUST CT
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-5521
Mailing Address - Country:US
Mailing Address - Phone:970-481-1021
Mailing Address - Fax:970-223-1418
Practice Address - Street 1:5224 HONEYLOCUST CT
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-5521
Practice Address - Country:US
Practice Address - Phone:970-481-1021
Practice Address - Fax:970-223-1418
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2611103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC469288Medicare PIN
COCOA100013Medicare PIN