Individual
SUSAN E BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
2990 E ANDERSON DR, LITHIA SPRINGS, GA 30122-2524
(770) 819-9922
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY002408
GA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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