Individual
DR. PHYLLIS RUTH BOWMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
9 ACTON RD, SUTIE 24, CHELMSFORD, MA 01824-3498
(978) 256-2250
Mailing address
104 PLYMPTON RD, SUDBURY, MA 01776-1803
(978) 256-2250
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
1103
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0513695
—
MA
Enumeration date
06/09/2006
Last updated
07/09/2007
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