Individual
DR. JOANNE LYNNE FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1210 PONTIAC AVE, INSTITUTE FOR BEHAVIORAL MEDICINE 3RD FLOOR, CRANSTON, RI 02920-4490
(401) 461-7547
(401) 781-4570
Mailing address
1210 PONTIAC AVE, INSTITUTE FOR BEHAVIORAL MEDICINE 3RD FLOOR, CRANSTON, RI 02920-4490
(401) 461-7547
(401) 781-4570
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
5064
MA
103TC0700X
Clinical Psychologist
Primary
PS00229
RI
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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