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NPI Code Detail

MEDICARE: MS. ROBIN LYNNE BOWMAN LCSW

MEDICARE: MS. ROBIN LYNNE BOWMAN LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1477576130
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ROBIN LYNNE BOWMAN LCSW
Provider Business Mailing Address
First Line : 855 CANYON RD
Second Line :
City : REDDING
State : CA
Zip : 96001-5544
Country : US
Telephone Number : 530-378-1855
Fax Number : 530-378-0857
Provider Business Practice Location Address
First Line : 2640 BRESLAUER WAY
Second Line :
City : REDDING
State : CA
Zip : 96001-4246
Country : US
Telephone Number : 530-227-4453
Fax Number : 530-225-2577
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 02/01/2021

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