Provider Demographics
NPI:1417050600
Name:BOWLING, JUDIT NEMETH (PHD)
Entity Type:Individual
Prefix:MS
First Name:JUDIT
Middle Name:NEMETH
Last Name:BOWLING
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:JUDIT
Other - Middle Name:
Other - Last Name:NEMETH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 503010
Mailing Address - Street 2:
Mailing Address - City:WHITE CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97503-0813
Mailing Address - Country:US
Mailing Address - Phone:541-941-7792
Mailing Address - Fax:503-419-4662
Practice Address - Street 1:897 ROYAL AVE STE C
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-6121
Practice Address - Country:US
Practice Address - Phone:541-941-5557
Practice Address - Fax:503-419-4662
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OROBPE2181103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical