Individual
MICAYLA BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
488 STATE RD, SUIT 7, PLYMOUTH, MA 02360-5114
(781) 603-8529
Mailing address
488 STATE RD, SUIT 7, PLYMOUTH, MA 02360-5114
(781) 603-8529
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9629
MA
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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