Individual
MS. CARRIE MAE BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC/SLP
Contact information
Practice address
3460 STATE ROUTE 30, FULTONHAM, NY 12071-0056
(518) 827-8223
Mailing address
PO BOX 56, FULTONHAM, NY 12071-0056
(518) 827-8223
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
013841
NY
235Z00000X
Speech-Language Pathologist
104200
TX
Other
Enumeration date
08/24/2009
Last updated
10/03/2011
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