Organization
SHIRLEY BOWEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIRLEY H BOWEN MS, CCC-SLP (PRESIDENT/CLINICAL DIRECTOR)
(252) 531-9009
Entity
Organization
Contact information
Practice address
1913 E 9TH ST, GREENVILLE, NC 27858-2922
(252) 531-9009
(252) 758-9465
Mailing address
PO BOX 2186, GREENVILLE, NC 27836-0186
(252) 531-9009
(252) 758-9465
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5976
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412012
—
NC
Enumeration date
10/11/2007
Last updated
08/22/2008
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