Provider Demographics
NPI:1891061081
Name:BOWEN, ANDREA RB (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:RB
Last Name:BOWEN
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Gender:F
Credentials:MS, CCC-SLP
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Mailing Address - Street 1:2500 N CHURCH STREET
Mailing Address - Street 2:CHESHIRE SPEECH AND VOICE CENTER
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-4314
Mailing Address - Country:US
Mailing Address - Phone:336-375-2240
Mailing Address - Fax:336-375-2214
Practice Address - Street 1:CHESHIRE SPEECH AND VOICE CENTER
Practice Address - Street 2:2500 N CHURCH STREET
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-4314
Practice Address - Country:US
Practice Address - Phone:336-375-2240
Practice Address - Fax:336-375-2214
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9443235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist