Individual
CHARLEY WILLIAM BOWEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
2400 JOHNSTOWN RD, HUNTINGTON, WV 25701-4738
(304) 522-7421
(304) 781-6727
Mailing address
2831 SYCAMORE RD, CULLODEN, WV 25510-9316
(304) 562-7307
(304) 781-6727
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
932
WV
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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