Individual
TIMOTHY FOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 N MILLER CAMPUS DR, LEHI, UT 84043-7233
(801) 824-6047
Mailing address
PO BOX 1282, SALEM, UT 84653-1282
(801) 824-6047
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5143121-2501
UT
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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