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NPI Code Detail

MEDICARE: MEGAN FOWLER

MEDICARE: MEGAN FOWLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist

General Provider Information

NPI Number : 1164364550
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN FOWLER
Provider Business Mailing Address
First Line : 1008 CHARLIE DR
Second Line :
City : SLIDELL
State : LA
Zip : 70461-5338
Country : US
Telephone Number : 985-710-2947
Fax Number :
Provider Business Practice Location Address
First Line : 262 DANNY THOMAS PL
Second Line :
City : MEMPHIS
State : TN
Zip : 38105-3678
Country : US
Telephone Number : 901-595-3713
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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