Individual
DR. JEREMY ALLAN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(844) 501-8387
Mailing address
PO BOX 2429, SMYRNA, TN 37167-1719
(479) 443-4301
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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