Doctor Name: | ANDREW GREGORY BOWERS |
NPI Number: | 1740431196 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SLP-CCC |
License Number: | SLP-5433 |
Business Practice Address: | 422 N. La Paz St. Dewey, AZ - 86327 |
Business Phone Number: | 9288990374 |
Business Fax Number: | 9282770790 |
Mailing Address: | 422 N La Paz St, DEWEY |
State: | AZ |
Postal Code: | 863277147 |
Phone Number: | 9288990374 |
Fax Number: | 9282770790 |
NPI Enumeration Date: | 10/03/2008 |
NPI Last Update Date: | 11/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP-5433 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |