| Doctor Name: | DR. SANDRA M BOWARD |
| NPI Number: | 1083791677 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY D |
| License Number: | 2481 |
| Business Practice Address: | 2817 Reilly Road Mcxc Cod Credentials Womack Army Medical Center Fort Bragg, NC - 28310 |
| Business Phone Number: | 9109076599 |
| Business Fax Number: | 9109076599 |
| Mailing Address: | 2817 Reilly Road Mcxc Cod Credentials, Womack Army Medical Center FORT BRAGG |
| State: | NC |
| Postal Code: | 28310 |
| Phone Number: | 9109078922 |
| Fax Number: | 9109076069 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2481 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |