Carol Rene Fowler PSYD

NPI 1023004884 - Psychologist - 103TC0700X

NPI Details
NPI 1023004884
Gender Female
Enumeration Date 09/26/2005
Last Updated 06/06/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
SERE DET, 1-145TH AVN REGT
BLDG 750, 3RD AVE
FORT RUCKER AL, 32326, US
Phone (334) 255-0441
Fax
Business Location
302 WASHINGTON AVE
ENTERPRISE AL, 36330-4411, US
Phone (334) 406-9778
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Alabama
License Number 1277
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According to our database, Carol Rene Fowler PSYD NPI is 1023004884, taxonomy code is 103TC0700X and license number is 1277, license state is located at Alabama. Carol Rene Fowler PSYD physically located at Sere Det, 1-145th Avn Regt, Fort Rucker AL, 32326. NPI Number Carol Rene Fowler PSYD has the Individual type.

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1023004884 NPI number is provided on an as is basis without warranty of any kind. 1023004884 is maintained by the National Plan & Provider Enumeration System. The contents of Carol Rene Fowler PSYD are for informational purposes only.