DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SANDRA W BOWKER, PHD, ABPP

Active Sole Proprietor

DR. SANDRA W BOWKER, PHD, ABPP is a Clinical Neuropsychologist healthcare provider located in PORTAGE, Michigan. NPI 1780633388 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · PORTAGE, MI

Registration Details

NPI Number
1780633388
Provider Type
Individual
Gender
Female
NPI Issued
May 9, 2006 (20.225537040411 yrs)
Last Updated
Dec 6, 2015
Licenses
6301010557 (MI)
6301010557 (MI)
Sole Proprietor
Yes

Practice Information

Address
5148 LOVERS LN STE 2
PORTAGE, MI, 490021572
Browse MI providers · Browse ZIP 49002
Phone
2693433010
Fax
2693433017
Primary Specialty
Clinical Neuropsychologist
103G00000X
Additional Specialty
Clinical Psychologist

Other Clinical Neuropsychologist Providers in PORTAGE, MI

Name Credential NPI
DR. JOHN THOMAS GALLAGHER ED.D. 1750472387
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.