Provider Demographics
NPI:1184748550
Name:BOWMAN, EMILY S (SLP)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:S
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2725 CASSEY ST
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29420-4201
Mailing Address - Country:US
Mailing Address - Phone:843-553-7605
Mailing Address - Fax:843-797-6846
Practice Address - Street 1:2725 CASSEY ST
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29420-4201
Practice Address - Country:US
Practice Address - Phone:843-553-7605
Practice Address - Fax:843-797-6846
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC997235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist