# DR. BART JAMES FOWLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003194564
- **Gender:** Man
- **Credential:** PSY.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 1297 | OR | — |
| 103T00000X | Psychologist | PY 60153263 | WA | Yes |
| 103TA0700X | Adult Development & Aging Psychologist | 1297 | OR | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | 1297 | OR | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | PY 60153263 | WA | — |
| 103TC0700X | Clinical Psychologist | 1297 | OR | — |
| 103TC0700X | Clinical Psychologist | PY 60153263 | WA | — |
| 103TC1900X | Counseling Psychologist | 1297 | OR | — |
| 103TC1900X | Counseling Psychologist | PY 60153263 | WA | — |
| 103TF0000X | Family Psychologist | 1297 | OR | — |
| 103TF0000X | Family Psychologist | PY 60153263 | WA | — |
| 103TM1800X | Intellectual & Developmental Disabilities Psychologist | 1297 | OR | — |
| 103TM1800X | Intellectual & Developmental Disabilities Psychologist | PY 60153263 | WA | — |
| 103TP2701X | Group Psychotherapy Psychologist | 1297 | OR | — |
| 103TP2701X | Group Psychotherapy Psychologist | PY 60153263 | WA | — |

## Other

- **Enumeration date:** 08/01/2011
- **Last updated:** 08/02/2011