Organization
BAY PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER J. SOWLE PHD (LICENSED PSYCHOLOGIST)
(231) 946-6488
Entity
Organization
Contact information
Practice address
236 1/2 E FRONT ST, TRAVERSE CITY, MI 49684-2526
(231) 946-6488
(231) 275-0153
Mailing address
PO BOX 4249, TRAVERSE CITY, MI 49685-4249
(231) 946-6488
(231) 275-0153
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301007636
MI
Other
Enumeration date
12/04/2006
Last updated
12/11/2007
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