Healthcare Provider Details

I. General information

NPI: 1215858576
Provider Name (Legal Business Name): WILLIAM BOWLING PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8787 BROOKPARK RD
PARMA OH
44129-6809
US

IV. Provider business mailing address

27032 OAKWOOD CIR APT 214P
OLMSTED FALLS OH
44138-3154
US

V. Phone/Fax

Practice location:
  • Phone: 216-739-7000
  • Fax:
Mailing address:
  • Phone: 606-813-2520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: