Provider Demographics
NPI:1700065760
Name:BOWMAN, PAUL L (PHD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:L
Last Name:BOWMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-1111
Mailing Address - Country:US
Mailing Address - Phone:415-255-7271
Mailing Address - Fax:415-772-8485
Practice Address - Street 1:126 CHURCH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-1111
Practice Address - Country:US
Practice Address - Phone:415-255-7271
Practice Address - Fax:415-772-8485
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-26
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY10836103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist