MEDICARE: EMILY CHLOE BOWER CF-SLP

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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1225511397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY CHLOE BOWER CF-SLP

Provider Business Mailing Address
First Line	:	6115 RED OAK CT
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72916-8873
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4201 N O ST
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72904-6603
Country	:	US
Telephone Number	:	632-747-9783
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2018
Last Update Date	:	09/27/2018

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Directions to “ EMILY CHLOE BOWER CF-SLP” Practice Location

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