Individual
KARINA FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
795 WILLOW RD, MENLO PARK, CA 94025-2539
(650) 493-5000
Mailing address
80 GREAT OAKS BLVD, SAN JOSE, CA 95119-1310
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY26975
CA
Other
Enumeration date
08/18/2011
Last updated
02/11/2020
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