Individual
MS. SUSAN ELAINE BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
63 E MAIN ST, #101, MESA, AZ 85201-7417
(480) 472-6611
(480) 472-6660
Mailing address
10113 E CARMEL AVE, MESA, AZ 85208-7481
(480) 472-6611
(480) 472-6660
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1584
AZ
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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