Individual
MARY K BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
15 W MAIN ST, TIPP CITY, OH 45371-1808
(937) 667-1113
(937) 667-9099
Mailing address
15 W MAIN ST, TIPP CITY, OH 45371-1808
(937) 667-1113
(937) 667-9099
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5039
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0212157
—
OH
Enumeration date
10/11/2006
Last updated
03/24/2014
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