Individual
TIMOTHY L BOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
999 S CLEAR LAKE PL, EAGLE, ID 83616-6179
(928) 606-8154
Mailing address
999 S CLEAR LAKE PL, EAGLE, ID 83616-6179
(928) 606-8154
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY202834
ID
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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