Individual
MARY A BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
635 W COLLEGE ST, FLORENCE, AL 35630-5313
(256) 764-3431
(256) 765-2036
Mailing address
635 W COLLEGE ST, FLORENCE, AL 35630-5313
(256) 764-3431
(256) 765-2036
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
821
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051033374
—
AL
01
—
1508822313
GROUP NPI NUMBER
—
01
—
D078
MEDICARE GROUP NUMBER
AL
Enumeration date
04/19/2006
Last updated
07/11/2007
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