Healthcare Provider Details

I. General information

NPI: 1003064502
Provider Name (Legal Business Name): DAWN MARIE BOWER M.ED., LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2008
Last Update Date: 05/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 W VALLEY FORGE RD
KING OF PRUSSIA PA
19406-1569
US

IV. Provider business mailing address

PO BOX 2159
NORRISTOWN PA
19404-2159
US

V. Phone/Fax

Practice location:
  • Phone: 610-574-5489
  • Fax: 610-337-7328
Mailing address:
  • Phone: 610-574-5489
  • Fax: 610-337-7314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC005085
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: