Healthcare Provider Details

I. General information

NPI: 1376402891
Provider Name (Legal Business Name): JENNIFER BOWLING
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2026
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

737 BEAR MOUNTAIN BLVD
ARVIN CA
93203-1413
US

IV. Provider business mailing address

737 BEAR MOUNTAIN BLVD
ARVIN CA
93203-1413
US

V. Phone/Fax

Practice location:
  • Phone: 661-854-6500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: