Individual
DR. JENNIFER FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2400 W DUNLAP AVE STE 124, PHOENIX, AZ 85021-2813
(801) 369-8989
(801) 704-9741
Mailing address
2400 W DUNLAP AVE STE 124, PHOENIX, AZ 85021-2813
(801) 369-8989
(801) 704-9741
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
PSY-005217
AZ
Other
Enumeration date
08/25/2014
Last updated
02/21/2023
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