Healthcare Provider Details

I. General information

NPI: 1134255359
Provider Name (Legal Business Name): VERONICA FOWLER PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 LYNN DR
VENTURA CA
93003-1036
US

IV. Provider business mailing address

300 LYNN DR
VENTURA CA
93003-1036
US

V. Phone/Fax

Practice location:
  • Phone: 805-641-5443
  • Fax:
Mailing address:
  • Phone: 805-641-5443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: