Individual
MR. JOSEPH W FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. L.P.
Contact information
Practice address
2205 CALIFORNIA ST NE, 207-A, MINNEAPOLIS, MN 55418-3348
(651) 649-4868
Mailing address
1314 MARQUETTE AVE, 2005, MINNEAPOLIS, MN 55403-4111
(651) 649-4868
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP2652
MN
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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