MEDICARE: AMY 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	235Z00000X	Speech-Language Pathologist	SP25411	CA

General Provider Information

NPI Number	:	1780117002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY BOWEN

Provider Business Mailing Address
First Line	:	737 W AVENUE H6
Second Line	:
City	:	LANCASTER
State	:	CA
Zip	:	93534-1517
Country	:	US
Telephone Number	:	805-248-0834
Fax Number	:

Provider Business Practice Location Address
First Line	:	737 W AVENUE H6
Second Line	:
City	:	LANCASTER
State	:	CA
Zip	:	93534-1517
Country	:	US
Telephone Number	:	805-248-0834
Fax Number	:

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

Provider Enumeration Date	:	04/04/2017
Last Update Date	:	06/02/2026

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Directions to “ AMY BOWEN ” Practice Location

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