Organization
WILLIAM E FOWLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM E FOWLER PHD (OWNER)
(985) 781-0548
Entity
Organization
Contact information
Practice address
309 CRYSTAL ST, NEW ORLEANS, LA 70124-2619
(985) 781-0548
(985) 781-4319
Mailing address
309 CRYSTAL ST, NEW ORLEANS, LA 70124-2619
(985) 781-0548
(985) 781-4319
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
665
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124320
—
LA
Enumeration date
07/21/2008
Last updated
07/21/2008
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