Provider Demographics
NPI:1558451120
Name:BOWMAN, RACHEL ANNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:ANNE
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:960 CORPORATE DR. STE 111
Mailing Address - Street 2:DOGWOOD PSYCHOLOGY CENTER FOR CHILDREN & FAMILIES, PLLC
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278
Mailing Address - Country:US
Mailing Address - Phone:919-945-4567
Mailing Address - Fax:
Practice Address - Street 1:960 CORPORATE DR. STE 111
Practice Address - Street 2:DOGWOOD PSYCHOLOGY CENTER FOR CHILDREN & FAMILIES, PLLC
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278
Practice Address - Country:US
Practice Address - Phone:919-945-4567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2015-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR02-12P103TB0200X, 103TC0700X, 103TM1800X
NC4107103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR148810719Medicaid
AR148810719Medicaid
P75913Medicare UPIN