| Bowen Psychological Services, Llc | |
|
5599 Fish Hawk Ct Waldorf MD 20601-4543 | |
| (301) 448-0818 | |
| Not Available |
| Full Name | Bowen Psychological Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 5599 Fish Hawk Ct, Waldorf, Maryland |
| Authorized Official Name and Position | Desney Bowen (OWNER/PRESIDENT) |
| Authorized Official Contact | 3014480818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bowen Psychological Services, Llc 150 Post Office Rd Unit 827 Waldorf MD 20604-7533 Ph: (301) 448-0818 | Bowen Psychological Services, Llc 5599 Fish Hawk Ct Waldorf MD 20601-4543 Ph: (301) 448-0818 |
| NPI Number | 1609365097 |
|---|---|
| Provider Enumeration Date | 05/01/2018 |
| Last Update Date | 12/03/2020 |
| Certification Date | 12/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609365097 | NPI | - | NPPES |
| 984070200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
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