Bruce Allen Fowler in Grand Rapids - Clinical
Bruce Allen Fowler - NPI 1881792497
Bruce Allen Fowler is a Clinical in Grand Rapids, Michigan. Bruce Allen Fowler practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bruce Allen Fowler is 1881792497. The last update date is 2017-02-08.
Bruce Allen Fowler's current location address is 2090 Celebration Dr Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6164504601 and fax number 6166080108. The mailing address for Bruce Allen Fowler is 2090 Celebration Dr Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Allen Fowler |
|---|---|
| Address | 2090 Celebration Dr Ne, Grand Rapids, Michigan |
| Phone Number | 6164504601 |
| Fax Number | 6166080108 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1881792497 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2017-02-08 |
Provider Mailing Address Detail
| Address | 2090 Celebration Dr Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495259200 |
| Phone Number | 6164504601 |
| Fax Number | 6166080108 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301006137 |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 680D115690 | MI | BLUE CROSS BLUE SHIELD MI |
Post Comment/ Review Below
What is the unique identification code assigned to Bruce Allen Fowler by the Centers for Medicare & Medicaid Services?
The Bruce Allen Fowler has been issued the NPI (National Provider Identifier) 1881792497. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Bruce Allen Fowler located?
The Bruce Allen Fowler is located at 2090 Celebration Dr Ne, Grand Rapids, MI 495259200.
What is Bruce Allen Fowler's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bruce Allen Fowler is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
When did Bruce Allen Fowler receive its 1881792497 assignment?
The Bruce Allen Fowler was assigned its 1881792497 on 2006-09-20, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Bruce Allen Fowler most recently updated or revised?
The details related to Bruce Allen Fowler, including its address, specialty, and other relevant information, were last updated or revised on 2017-02-08.
NPI Number: 1376546309
Address: 1498 Se Tech Center Pl Ste 240, Vancouver, WA