Individual
DR. BART JAMES FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
11802 NE 117TH AVE, VANCOUVER, WA 98662-1560
(360) 891-2000
(360) 944-6965
Mailing address
11802 NE 117TH AVE, VANCOUVER, WA 98662-1560
(360) 891-2000
(360) 944-6965
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1297
OR
103T00000X
Psychologist
Primary
PY 60153263
WA
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
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