Bowman, Glen
Bowman, Glen is an individual health care provider with primary practice located at 2300 Commonwealth Dr Suite 100, Charlottesville VA 22901-1622. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Bowman, Glen can be contacted via phone (434) 812-4009.Contact Information
Primary practice address
2300 Commonwealth Dr Suite 100
Charlottesville VA 22901-1622
Phone: (434) 812-4009
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810002117 | Virginia |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 0810002117 | Virginia |
Profile Details
| NPI number | 1114349867 |
|---|---|
| LBN Legal business name | Bowman, Glen |
| Credentials | CLINICAL PSYCHOLOGIS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 15th, 2014 |
| Last updated | Nov 3rd, 2015 - about 10 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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