Individual
DR. GRACE ELIZABETH FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 W CARSON ST, 1 SOUTH ROOM 38, TORRANCE, CA 90502-2004
(424) 306-5879
Mailing address
PO BOX 11135, TORRANCE, CA 90510-1135
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
PSY34771
CA
106H00000X
Marriage & Family Therapist
—
—
225C00000X
Rehabilitation Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/05/2018
Last updated
03/24/2025
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