Provider Demographics
NPI:1578768412
Name:BOWERS, BARBARA BELL (LPA)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:BELL
Last Name:BOWERS
Suffix:
Gender:F
Credentials:LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 AIRLIE RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-3711
Mailing Address - Country:US
Mailing Address - Phone:910-256-0607
Mailing Address - Fax:910-256-0607
Practice Address - Street 1:4000 SHIPYARD BLVD., SUITE 100
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403
Practice Address - Country:US
Practice Address - Phone:910-796-7848
Practice Address - Fax:910-796-7849
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1019103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist