Individual
GEOFFREY FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
199 LIBERTY ST SW, LEESBURG, VA 20175-2715
(703) 621-7121
(703) 665-7686
Mailing address
9202 CENTER OAK CT, MECHANICSVILLE, VA 23116-2744
(804) 207-6737
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810006348
VA
Other
Enumeration date
08/30/2017
Last updated
10/14/2023
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