Individual
DR. ERIN R. BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, HSPP
Contact information
Practice address
9910 DUPONT CIRCLE DR E STE 140, FORT WAYNE, IN 46825-1618
(260) 570-4515
(260) 206-0762
Mailing address
PO BOX 283, MARKLE, IN 46770-0283
(765) 215-1736
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20042505A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20042505A
INDIANA PSYCHOLOGIST LICENSE
IN
05
—
201094690
—
IN
Enumeration date
07/18/2012
Last updated
07/21/2022
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