Organization
SANDRA BOWKER AND ASSOCIATES, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE JEAN STEWART MA (PRACTICE MANAGER)
(269) 343-3010
Entity
Organization
Contact information
Practice address
5930 LOVERS LN, SECOND FLOOR, PORTAGE, MI 49002-1673
(269) 343-3010
(269) 343-3017
Mailing address
5930 LOVERS LN, SECOND FLOOR, PORTAGE, MI 49002-1673
(269) 343-3010
(269) 343-3017
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
11/22/2008
Last updated
11/22/2008
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