Individual
LORI A BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
13260 N 9TH DR, SUITE 104, PEORIA, AZ 85381
(480) 545-2610
(480) 545-2673
Mailing address
13260 N 9TH DR, SUITE 104, PEORIA, AZ 85381
(623) 974-8900
(623) 974-8911
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL1781
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0913750
BCBS AZ
AZ
Enumeration date
12/14/2006
Last updated
07/08/2007
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