| Sandra Bowker And Associates, Plc | |
|
5930 Lovers Ln Second Floor Portage MI 49002-1673 | |
| (269) 343-3010 | |
| (269) 343-3017 |
| Full Name | Sandra Bowker And Associates, Plc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 5930 Lovers Ln, Portage, Michigan |
| Authorized Official Name and Position | Stephanie Jean Stewart (PRACTICE MANAGER) |
| Authorized Official Contact | 2693433010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Bowker And Associates, Plc 5930 Lovers Ln Second Floor Portage MI 49002-1673 Ph: (269) 343-3010 | Sandra Bowker And Associates, Plc 5930 Lovers Ln Second Floor Portage MI 49002-1673 Ph: (269) 343-3010 |
| NPI Number | 1609021369 |
|---|---|
| Provider Enumeration Date | 11/22/2008 |
| Last Update Date | 11/22/2008 |
| Medicare PECOS PAC ID | 4789737263 |
|---|---|
| Medicare Enrollment ID | O20090730000549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609021369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| Provider Name | Katherine M Walden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912961814 PECOS PAC ID: 6305831363 Enrollment ID: I20040419000705 |
| Provider Name | Sandra W Bowker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780633388 PECOS PAC ID: 2466402763 Enrollment ID: I20050125000361 |
| Provider Name | Shamika Y Hall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912209156 PECOS PAC ID: 4082882667 Enrollment ID: I20110726000715 |
| Provider Name | Nishani D Samaraweera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841483567 PECOS PAC ID: 4789845892 Enrollment ID: I20140804000862 |
| Provider Name | Rina Battani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871600809 PECOS PAC ID: 8123448164 Enrollment ID: I20201013003195 |
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