Individual
DR. JAN LESLIE BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
19 GLENEDEN AVE, OAKLAND, CA 94611-4316
(510) 594-9569
(415) 771-4395
Mailing address
19 GLENEDEN AVE, OAKLAND, CA 94611-4316
(510) 594-9569
(415) 771-4395
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY12631
CA
103TC0700X
Clinical Psychologist
PSY12631
CA
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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