Search › Michigan › 103G00000X
Sandra Bowker, PHD, ABPP
NPI 1780633388 · on the registry since 2006 · sole proprietor
Practice
- Address
- 5148 Lovers Ln Ste 2
Portage, MI 49002 - Phone
- (269) 343-3010
- Fax
- (269) 343-3017
- Organisation at this address
- Centerwell Certified Healthcare Corp.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 103G00000X
103G00000X
- Also registered as
- 103TC0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-12-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan