Organization
FOWLER NEUROCOGNITIVE CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA C FOWLER PH.D. (PRESIDENT)
(831) 920-2506
Entity
Organization
Contact information
Practice address
1011 CASS ST, SUITE 111, MONTEREY, CA 93940-4518
(831) 920-2506
Mailing address
1011 CASS ST, SUITE 111, MONTEREY, CA 93940-4518
(831) 920-2506
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PSY2262B
CA
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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