MEDICARE: DR. LINDA BOWEN PH.D.

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	103T00000X	Psychologist	2-4959	TX

General Provider Information

NPI Number	:	1922114636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDA BOWEN PH.D.

Provider Business Mailing Address
First Line	:	PO BOX 905
Second Line	:
City	:	TOMBALL
State	:	TX
Zip	:	77377-0905
Country	:	US
Telephone Number	:	281-955-6011
Fax Number	:	281-955-6277

Provider Business Practice Location Address
First Line	:	12345 JONES RD
Second Line	:	SUITE 260
City	:	HOUSTON
State	:	TX
Zip	:	77070-4855
Country	:	US
Telephone Number	:	281-955-6011
Fax Number	:	281-955-6277

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

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. LINDA BOWEN PH.D.” Practice Location

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