Individual
CARLY FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-CCC-SLP
Contact information
Practice address
144 COLLEGE ST, GALLATIN, TN 37066-3808
(615) 802-8051
(833) 901-2965
Mailing address
144 COLLEGE ST, GALLATIN, TN 37066-3808
(615) 802-8051
(833) 901-2965
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1741
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47065477700
—
NE
Enumeration date
04/29/2015
Last updated
03/13/2025
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