MEDICARE: ALAN LEE BOWERS LMFT

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	106H00000X	Marriage & Family Therapist	80867	CA

General Provider Information

NPI Number	:	1578719084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN LEE BOWERS LMFT

Provider Business Mailing Address
First Line	:	601 STEINER ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94117-2509
Country	:	US
Telephone Number	:	510-914-3318
Fax Number	:

Provider Business Practice Location Address
First Line	:	1041 SANTA FE AVE
Second Line	:
City	:	ALBANY
State	:	CA
Zip	:	94706-2341
Country	:	US
Telephone Number	:	510-914-3318
Fax Number	:

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

Provider Enumeration Date	:	08/15/2008
Last Update Date	:	08/16/2016

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Directions to “ ALAN LEE BOWERS LMFT” Practice Location

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