| William E Fowler | |
|
309 Crystal St New Orleans LA 70124-2619 | |
| (985) 781-0548 | |
| (985) 781-4319 |
| Full Name | William E Fowler |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 309 Crystal St, New Orleans, Louisiana |
| Authorized Official Name and Position | William E Fowler (OWNER) |
| Authorized Official Contact | 9857810548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William E Fowler 309 Crystal St New Orleans LA 70124-2619 Ph: (985) 781-0548 | William E Fowler 309 Crystal St New Orleans LA 70124-2619 Ph: (985) 781-0548 |
| NPI Number | 1760647663 |
|---|---|
| Provider Enumeration Date | 07/21/2008 |
| Last Update Date | 07/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760647663 | NPI | - | NPPES |
| 1124320 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 665 (Louisiana) | Primary |
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