Provider Demographics
NPI:1760536676
Name:BOWES, DEBORAH LEE (LCSW LMFT MA)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:LEE
Last Name:BOWES
Suffix:
Gender:F
Credentials:LCSW LMFT MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9011 N MERIDIAN ST
Mailing Address - Street 2:#125
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-2399
Mailing Address - Country:US
Mailing Address - Phone:317-848-5322
Mailing Address - Fax:317-255-0028
Practice Address - Street 1:9011 N MERIDIAN ST
Practice Address - Street 2:#125
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-2399
Practice Address - Country:US
Practice Address - Phone:317-848-5322
Practice Address - Fax:317-255-0028
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN3400276A1041S0200X
IN35000455A106H00000X
IN34002762A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical