Provider Demographics
NPI:1184999823
Name:BOWKER, DOROTHY (LPC)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:
Last Name:BOWKER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 S PITNEY RD
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-9774
Mailing Address - Country:US
Mailing Address - Phone:609-484-7584
Mailing Address - Fax:609-383-0563
Practice Address - Street 1:416 S PITNEY RD
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-9774
Practice Address - Country:US
Practice Address - Phone:609-484-7584
Practice Address - Fax:609-383-0563
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00427200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional