| Sara Bowerman, Ph.d., A Professional Corporation | |
|
5047 Robert J Mathews Pkwy Ste 302 El Dorado Hills CA 95762-5748 | |
| (916) 992-4114 | |
| (916) 467-7760 |
| Full Name | Sara Bowerman, Ph.d., A Professional Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 5047 Robert J Mathews Pkwy Ste 302, El Dorado Hills, California |
| Authorized Official Name and Position | Sara Beth Bowerman (PRESIDENT) |
| Authorized Official Contact | 9169924114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Bowerman, Ph.d., A Professional Corporation 1558 Daunting Dr El Dorado Hills CA 95762-7658 Ph: (916) 939-7949 | Sara Bowerman, Ph.d., A Professional Corporation 5047 Robert J Mathews Pkwy Ste 302 El Dorado Hills CA 95762-5748 Ph: (916) 992-4114 |
| NPI Number | 1750904611 |
|---|---|
| Provider Enumeration Date | 05/26/2020 |
| Last Update Date | 05/26/2020 |
| Certification Date | 05/26/2020 |
| Medicare PECOS PAC ID | 2860815107 |
|---|---|
| Medicare Enrollment ID | O20200706001465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750904611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sara B Bowerman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447381868 PECOS PAC ID: 9638393234 Enrollment ID: I20140623001848 |
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