Healthcare Provider Details

I. General information

NPI: 1871891838
Provider Name (Legal Business Name): ANN B DOUVIER BCBA, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANN MARIE BOWENS CCC-SLP

II. Dates (important events)

Enumeration Date: 02/28/2011
Last Update Date: 02/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10421 SW BANK RD UNIT 1
VASHON WA
98070-4666
US

IV. Provider business mailing address

PO BOX 1862
VASHON WA
98070-1862
US

V. Phone/Fax

Practice location:
  • Phone: 206-713-7168
  • Fax: 206-463-9107
Mailing address:
  • Phone: 206-713-7168
  • Fax: 206-463-9107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberLL60134156
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-09-5605
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: