# MISS COLLEEN BOWMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1174928006
- **Gender:** F
- **Credential:** MSED (BIRTH-2 SPED)

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 342302406 | NY | Yes |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | — |

## Other

- **Enumeration date:** 11/04/2014
- **Last updated:** 11/04/2014