Individual
DR. LEE A. BOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
210 TOWER RD, VILLANOVA, PA 19085
(610) 520-0443
(610) 520-0442
Mailing address
210 TOWER RD, VILLANOVA, PA 19085-1214
(610) 520-0443
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS-006234-L
PA
103TC0700X
Clinical Psychologist
Primary
PS-006234-L
PA
103TH0100X
Health Service Psychologist
PS-006234-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BO 063245
BLUE CROSS
PA
Enumeration date
07/07/2005
Last updated
08/09/2018
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