Healthcare Provider Details

I. General information

NPI: 1790611689
Provider Name (Legal Business Name): CASEY BOWER MS, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

822 MONTGOMERY AVE
NARBERTH PA
19072-1937
US

IV. Provider business mailing address

90 WOODBINE WAY
PLYMOUTH MEETING PA
19462-1524
US

V. Phone/Fax

Practice location:
  • Phone: 215-220-2210
  • Fax:
Mailing address:
  • Phone: 215-901-7496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSL019249
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: