Organization
JUDIE BOWMAN, PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDIE BOWMAN PHD (PRESIDENT)
(719) 939-8828
Entity
Organization
Contact information
Practice address
801 N WEBER ST, COLORADO SPRINGS, CO 80903-5927
(719) 930-8828
(719) 687-8182
Mailing address
5526 COUNTY ROAD 5, DIVIDE, CO 80814-9107
(719) 930-8828
(719) 687-8182
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2071
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07020712
—
CO
Enumeration date
06/25/2007
Last updated
11/26/2007
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