Individual
TARA S FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC/SLP
Contact information
Practice address
193 SAM LISENBY RD, OZARK, AL 36360-3048
(334) 445-6336
(334) 445-6363
Mailing address
193 SAM LISENBY RD, OZARK, AL 36360-3048
(334) 445-6336
(334) 445-6363
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2471
AL
Other
Enumeration date
09/19/2006
Last updated
01/06/2011
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