Bowen, Lisa D

Bowen, Lisa D is an sole proprietor health care provider with primary practice located at 2850 5Th Ave , Huntington WV 25702-1436. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Bowen, Lisa D can be contacted via phone (304) 528-5000.

Contact Information

Primary practice address
2850 5Th Ave Huntington WV 25702-1436
Fax: (304) 528-5080
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 11112 West Virginia

Profile Details

NPI number 1437336591
LBN Legal business name Bowen, Lisa D
Credentials MA ED.S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2008
Last updated Jan 30th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437336591 NPPES
West Virginia MEDICAID 9489007000

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