# SHIRLEY BOWEN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750579090
- **Authorized official:** MS. SHIRLEY H BOWEN MS, CCC-SLP (PRESIDENT/CLINICAL DIRECTOR)
- **Authorized official phone:** (252) 531-9009

## Contact information

- **Practice address:** 1913 E 9TH ST, GREENVILLE, NC 27858-2922
- **Practice address phone:** (252) 531-9009
- **Practice address fax:** (252) 758-9465
- **Mailing address:** PO BOX 2186, GREENVILLE, NC 27836-0186
- **Mailing address phone:** (252) 531-9009
- **Mailing address fax:** (252) 758-9465

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2355S0801X | Speech-Language Assistant | 5976 | NC | Yes |

## Other

- **Enumeration date:** 10/11/2007
- **Last updated:** 08/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7412012 | — | NC |