Provider Demographics
NPI:1801072566
Name:BOWLES, DAVID ALEXANDER (MA,CCC-A)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ALEXANDER
Last Name:BOWLES
Suffix:
Gender:M
Credentials:MA,CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 TATE BLVD SE
Mailing Address - Street 2:STE. 108
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-4000
Mailing Address - Country:US
Mailing Address - Phone:828-322-7025
Mailing Address - Fax:828-261-2516
Practice Address - Street 1:950 TATE BLVD SE
Practice Address - Street 2:STE. 108
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-4000
Practice Address - Country:US
Practice Address - Phone:828-322-7025
Practice Address - Fax:828-261-2516
Is Sole Proprietor?:No
Enumeration Date:2008-01-12
Last Update Date:2012-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3195231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist