Provider Demographics
NPI:1568918134
Name:BOWDEN, HEATHER (MSW)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:BOWDEN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 798
Mailing Address - Street 2:
Mailing Address - City:ALDERSON
Mailing Address - State:WV
Mailing Address - Zip Code:24910-0798
Mailing Address - Country:US
Mailing Address - Phone:304-445-7790
Mailing Address - Fax:
Practice Address - Street 1:158 ACADEMY DRIVE
Practice Address - Street 2:
Practice Address - City:PENCE SPRINGS
Practice Address - State:WV
Practice Address - Zip Code:24962
Practice Address - Country:US
Practice Address - Phone:304-445-7790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical