Individual
DR. JENNIFER CLARK BOUWKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
415 W COLUMBIA ST STE 110, EVANSVILLE, IN 47710-1656
(812) 450-3363
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-6879
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20042856A
IN
103T00000X
Psychologist
2008034834
MO
Other
Enumeration date
09/21/2009
Last updated
07/21/2022
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