Healthcare Provider Details

I. General information

NPI: 1083103022
Provider Name (Legal Business Name): LINDSEY BOWMAN PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2018
Last Update Date: 05/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF FLORIDA 1600 SW ARCHER RD G-901
GAINESVILLE FL
32610-0001
US

IV. Provider business mailing address

PO BOX 100165
GAINESVILLE FL
32610-0165
US

V. Phone/Fax

Practice location:
  • Phone: 352-265-0294
  • Fax:
Mailing address:
  • Phone: 352-265-0294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPY10107
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: