Individual
JESSICA MARIE BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP, CIC-CPP, C-DBT
Contact information
Practice address
19401 NORTHLINE RD BLDG 5, SOUTHGATE, MI 48195-2277
(734) 785-7718
(734) 287-8221
Mailing address
17 E ELM AVE APT 5, MONROE, MI 48162-2684
(313) 778-3489
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
6361008001
MI
103TC0700X
Clinical Psychologist
Primary
6361008001
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6361008001
MI
103TH0004X
Health Psychologist
6361008001
MI
103TM1800X
Intellectual & Developmental Disabilities Psychologist
6361008001
MI
Other
Enumeration date
11/01/2017
Last updated
01/09/2026
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