Jacqueline Bernice Fowler in Gary - Group Psychotherapy
Jacqueline Bernice Fowler - NPI 1053582445
Jacqueline Bernice Fowler is a Group Psychotherapy in Gary, Indiana. Jacqueline Bernice Fowler practices all healthcare services and medical treatments related to Group Psychotherapy. The NPI Number for Jacqueline Bernice Fowler is 1053582445. The last update date is 2022-03-03.
Jacqueline Bernice Fowler's current location address is 8620 Maple Ave, Gary, Indiana. You can contact this provider via phone number 2199632956. The mailing address for Jacqueline Bernice Fowler is 8620 Maple Ave, Gary, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Bernice Fowler |
|---|---|
| Address | 8620 Maple Ave, Gary, Indiana |
| Phone Number | 2199632956 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | HAPP, LMT |
NPI Number Detail
| NPI Number | 1053582445 |
|---|---|
| Provider Enumeration Date | 2008-03-13 |
| Last Updated Date | 2022-03-03 |
Provider Mailing Address Detail
| Address | 8620 Maple Ave |
|---|---|
| City | Gary |
| State | Indiana (IN) |
| Post Code | 464031423 |
| Phone Number | 2199632956 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Group Psychotherapy |
|---|---|
| Taxonomy | 103Tp2701X |
|
Definition: A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intraperso |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MT209011898 | IN | LICENSED MASSAGE THERAPIST/ ME | |
| 0 | IN | HOLISTIC ALTERNATIVE PSYCHOLOG |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jacqueline Bernice Fowler by the Centers for Medicare & Medicaid Services?
The Jacqueline Bernice Fowler has been assigned the NPI (National Provider Identifier) 1053582445 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jacqueline Bernice Fowler?
The Jacqueline Bernice Fowler is situated at 8620 Maple Ave, in the city of Gary, state of IN, with the zip code 464031423.
What is Jacqueline Bernice Fowler's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jacqueline Bernice Fowler is Group Psychotherapy, and the taxonomy code that categorizes this field of expertise is 103Tp2701X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053582445 to Jacqueline Bernice Fowler?
The Jacqueline Bernice Fowler received its 1053582445 assignment from the Centers for Medicare & Medicaid Services on 2008-03-13.
As of what date was the information regarding Jacqueline Bernice Fowler, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jacqueline Bernice Fowler, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-03-03.
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