| Organization Name: | PSYCHOLOGICAL ASSOCIATES OF WESTERN CO. P.C. |
| NPI Number: | 1033233176 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DALE E. BOWEN (OWNER) |
| Mailing Address: | 2530 North 8th Street Suite #204 Grand Junction |
| State: | CO US |
| Postal Code: | 815018858 |
| Phone Number: | 9702453505 |
| Fax Number: | 9702451766 |
| NPI Enumeration Date: | 03/16/2007 |
| NPI Last Update Date: | 11/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |