# LOWCOUNTRY BEHAVIORAL PEDIATRICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LOWCOUNTRY BEHAVIORAL PEDIATRICS, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942950423
- **Authorized official:** DR. ASHLEY MARIE FOWLER PSYD. (SOLE PROPRIETOR)
- **Authorized official phone:** (509) 680-0093

## Contact information

- **Practice address:** 1525 SAM RITTENBERG BLVD STE 103, CHARLESTON, SC 29407-4139
- **Practice address phone:** (509) 680-0093
- **Mailing address:** 939 COTTINGHAM DR, MOUNT PLEASANT, SC 29464-3501
- **Mailing address phone:** (509) 680-0093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 03/27/2022
- **Last updated:** 09/27/2022