Individual
SUSAN RENEE BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
210 E GRAY ST STE 1105, LOUISVILLE, KY 40202-3907
(502) 583-1697
(502) 583-2120
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 975-2213
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3003876
KY
103T00000X
Psychologist
Primary
PS019252
PA
Other
Enumeration date
08/26/2010
Last updated
06/04/2026
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