Individual
JENNIFER BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
PO BOX 655, DEWEY, AZ 86327-0655
(928) 759-4028
(928) 759-4030
Mailing address
638 #A CAMPBELL ST, PRESCOTT, AZ 86301
(928) 759-4846
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP5198
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136940
—
AZ
Enumeration date
03/12/2007
Last updated
08/18/2017
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