MEDICARE: ANNE MARKEY BOWEN

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	103TC0700X	Clinical Psychologist	4409	AZ

General Provider Information

NPI Number	:	1326541905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE MARKEY BOWEN

Provider Business Mailing Address
First Line	:	3956 W BAR RANCH DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85745-9260
Country	:	US
Telephone Number	:	307-399-9625
Fax Number	:

Provider Business Practice Location Address
First Line	:	3956 W BAR RANCH DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85745-9260
Country	:	US
Telephone Number	:	307-399-9625
Fax Number	:

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

Provider Enumeration Date	:	03/09/2018
Last Update Date	:	03/09/2018

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Directions to “ ANNE MARKEY BOWEN ” Practice Location

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