Individual
DR. JANINE LYNNE BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
105 COUNTRY DR, STATESVILLE, NC 28625-8980
(704) 876-1951
(704) 876-1951
Mailing address
105 COUNTRY DR, STATESVILLE, NC 28625-8980
(704) 876-1951
(704) 876-1951
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TS0200X
School Psychologist
2450
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2450
NC LICENSED PSYCHOLOGIST - HEALTH SERVICE PROVIDER (HSP)
NC
Enumeration date
02/25/2011
Last updated
01/24/2018
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