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NPI Code Detail

MEDICARE: HEATHER BOWMAN LPC

MEDICARE:   HEATHER  BOWMAN  LPC
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
1101YP2500XProfessional Counselor66792TX

General Provider Information

NPI Number : 1174821474
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER BOWMAN LPC
Provider Business Mailing Address
First Line : 1846 SNAKE RIVER RD STE B
Second Line :
City : KATY
State : TX
Zip : 77449-7758
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1846 SNAKE RIVER RD STE B
Second Line :
City : KATY
State : TX
Zip : 77449-7758
Country : US
Telephone Number : 281-797-6791
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2011
Last Update Date : 06/30/2014

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Directions to “ HEATHER BOWMAN LPC” Practice Location

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