Provider Demographics
NPI:1710344114
Name:BOWDISH, ELIZABETH (MS, LGC)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:
Last Name:BOWDISH
Suffix:
Gender:F
Credentials:MS, LGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 THOMAS LN
Mailing Address - Street 2:SUITE 2D
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-1401
Mailing Address - Country:US
Mailing Address - Phone:614-788-4643
Mailing Address - Fax:614-788-4650
Practice Address - Street 1:500 THOMAS LN
Practice Address - Street 2:SUITE 2D
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-1401
Practice Address - Country:US
Practice Address - Phone:614-788-4643
Practice Address - Fax:614-788-4650
Is Sole Proprietor?:No
Enumeration Date:2016-01-15
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH70.000203170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS