Provider Demographics
NPI:1831269141
Name:BEZMALINOVIC, MARGARET (PSYD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:
Last Name:BEZMALINOVIC
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 1:424 2ND ST STE D
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-4675
Mailing Address - Country:US
Mailing Address - Phone:530-902-9604
Mailing Address - Fax:
Practice Address - Street 1:424 2ND ST STE D
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-4675
Practice Address - Country:US
Practice Address - Phone:530-902-9604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20311103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical