Provider Demographics
NPI:1922095447
Name:BOWERS, ANGELA GLASER (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:GLASER
Last Name:BOWERS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:GLASER
Other - Last Name:BOWERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:14300 N. NORTHSIGHT BLVD. #217
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-3677
Mailing Address - Country:US
Mailing Address - Phone:480-689-4100
Mailing Address - Fax:480-689-4213
Practice Address - Street 1:14200 N. NORTHSIGHT BLVD. #217
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-3677
Practice Address - Country:US
Practice Address - Phone:480-689-4100
Practice Address - Fax:480-689-4213
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-29
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1124103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist