Provider Demographics
NPI:1912088741
Name:CLOWER, CHRISTEN ELIZABETH (PHD)
Entity Type:Individual
Prefix:
First Name:CHRISTEN
Middle Name:ELIZABETH
Last Name:CLOWER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 S ELM ST
Mailing Address - Street 2:101
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-6050
Mailing Address - Country:US
Mailing Address - Phone:940-383-2211
Mailing Address - Fax:940-383-2741
Practice Address - Street 1:210 S ELM ST
Practice Address - Street 2:101
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-6050
Practice Address - Country:US
Practice Address - Phone:940-383-2211
Practice Address - Fax:940-383-2741
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32554103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX176990301Medicaid
TX86968AOtherBCBS PROVIDER NUMBER
TX176991101Medicaid
TX10039110OtherAMERIGROUP PROV. NUMBER
TX176991101Medicaid