Provider Demographics
NPI:1417200643
Name:BOWDERS, JENNIFER E (MA)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:E
Last Name:BOWDERS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 N GOTWALT ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17404-5011
Mailing Address - Country:US
Mailing Address - Phone:717-309-7382
Mailing Address - Fax:
Practice Address - Street 1:2100 E MARKET ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-2845
Practice Address - Country:US
Practice Address - Phone:717-755-8876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-25
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health