Shannon Fowler, PHD, LP - Psychologist in Longwood, FL

Shannon Fowler, PHD, LP is a Psychologist - Clinical based in Longwood, Florida. Shannon Fowler is licensed to practice in Michigan (license number 6301016051) and her current practice location is 741 Riverbend Blvd, Longwood, Florida. She can be reached at her office (for appointments etc.) via phone at (734) 474-0530.

NPI number for Shannon Fowler is 1619378650 and her current mailing address is 741 Riverbend Blvd, Longwood, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619378650.

Contact Information

Shannon Fowler, PHD, LP
741 Riverbend Blvd,
Longwood, FL 32779-2347
(734) 474-0530
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShannon Fowler
GenderFemale
SpecialityPsychologist - Clinical
Location741 Riverbend Blvd, Longwood, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1619378650
  • Provider Enumeration Date: 09/09/2014
  • Last Update Date: 12/09/2021

Medical Identifiers

Medical identifiers for Shannon Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619378650NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 0810005172 (Virginia)Secondary
103TC0700XPsychologist - Clinical 6301016051 (Michigan)Primary
103TC0700XPsychologist - Clinical PY10662 (Florida)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Fowler is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shannon Fowler, PHD, LP
741 Riverbend Blvd,
Longwood, FL 32779-2347

Ph: (734) 474-0530
Shannon Fowler, PHD, LP
741 Riverbend Blvd,
Longwood, FL 32779-2347

Ph: (734) 474-0530

Reviews and Comments


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