Organization
LOWCOUNTRY BEHAVIORAL PEDIATRICS, LLC
Active
Other names
LOWCOUNTRY BEHAVIORAL PEDIATRICS, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY MARIE FOWLER PSYD. (SOLE PROPRIETOR)
(509) 680-0093
Entity
Organization
Contact information
Practice address
1525 SAM RITTENBERG BLVD STE 103, CHARLESTON, SC 29407-4139
(509) 680-0093
Mailing address
939 COTTINGHAM DR, MOUNT PLEASANT, SC 29464-3501
(509) 680-0093
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
03/27/2022
Last updated
09/27/2022
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