Doctor Name: | SYLVIA BOWEN |
NPI Number: | 1578705893 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | I-08798 |
Business Practice Address: | 317 Bunker Ave Aztec, NM - 874102307 |
Business Phone Number: | 2082602821 |
Business Fax Number: | |
Mailing Address: | 2979 County Road 222, DURANGO |
State: | CO |
Postal Code: | 813038166 |
Phone Number: | 2082602821 |
Fax Number: | |
NPI Enumeration Date: | 04/01/2009 |
NPI Last Update Date: | 05/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I-08798 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |