Individual
DR. NEAL A BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LPCC
Contact information
Practice address
530 DEMOSS ST., HIDALGO MEDICAL SERVICES, LORDSBURG, NM 88045-2618
(505) 542-2371
(575) 542-2388
Mailing address
530 DEMOSS STREET, HIDALGO MEDICAL SERVICES, LORDSBURG, NM 88045-2618
(505) 542-2371
(575) 542-2388
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0088451
NM
101YM0800X
Mental Health Counselor
LH00008191
WA
103TC1900X
Counseling Psychologist
Primary
1020
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34186875
—
NM
01
—
342730907
MEDICARE PTAN
NM
Enumeration date
12/23/2005
Last updated
09/05/2014
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