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NPI Code Detail

MEDICARE: DR. LINDA K BOWMAN PHD

MEDICARE: DR. LINDA K BOWMAN PHD
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
1103T00000XPsychologistPY00001551WA

General Provider Information

NPI Number : 1700855061
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA K BOWMAN PHD
Provider Business Mailing Address
First Line : 12415 LAKE CITY BLVD SW
Second Line :
City : LAKEWOOD
State : WA
Zip : 98498-4205
Country : US
Telephone Number : 253-232-4727
Fax Number : 253-590-0837
Provider Business Practice Location Address
First Line : 12415 LAKE CITY BLVD SW
Second Line :
City : LAKEWOOD
State : WA
Zip : 98498-4205
Country : US
Telephone Number : 253-232-4727
Fax Number : 253-590-0837
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 09/09/2025

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