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Individual

DR. JOHNATHAN L. FOWLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
761 JUSTIN RD STE B, ROCKWALL, TX 75087-4877
(214) 427-7423
Mailing address
761 JUSTIN RD STE B, ROCKWALL, TX 75087-4877
(214) 427-7423

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
1262
SC
103T00000X
Psychologist
Primary
36720
TX

Other

Enumeration date
07/02/2013
Last updated
07/09/2025
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