ELWOOD PAUL BOWERMAN, LPC - NPI NUMBER 1255577706

Summary

Provider Name: ELWOOD PAUL BOWERMAN, LPC

NPI Number: 1255577706

Clasification: Counselor (101YP2500X)

Specialization: Professional

Address:
8404 PINEWOOD DR
OKLAHOMA CITY, OK
ZIP 73135

Phone Number: (405) 620-1594



Detailed Information

Elwood Paul Bowerman, LPC is a professional counselor in Oklahoma City, OK. The assigned NPI number for this provider is 1255577706 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

8404 PINEWOOD DR
OKLAHOMA CITY, OK
ZIP 73135-174
Phone: (405) 620-1594

The enumeration date for this NPI number is 1/5/2009 and was last updated on 1/5/2009.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 101YP2500X Counselor Professional 568 OK Yes

NPI Record

No. Field Name Field Value
1 NPI 1255577706
2 Entity Type Code 1
3 Provider Last Name Legal Name BOWERMAN
4 Provider First Name ELWOOD
5 Provider Middle Name PAUL
6 Provider Credential Text LPC
7 Provider First Line Business Practice Location Address 8404 PINEWOOD DR
8 Provider Business Practice Location Address City Name OKLAHOMA CITY
9 Provider Business Practice Location Address State Name OK
10 Provider Business Practice Location Address Postal Code 731356174
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 4056201594
13 Provider Enumeration Date 1/5/2009
14 Last Update Date 1/5/2009
15 Provider Gender Code M
16 Healthcare Provider Taxonomy Code 1 101YP2500X
17 Provider License Number 1 568
18 Provider License Number State Code 1 OK
19 Healthcare Provider Primary Taxonomy Switch 1 Y
20 Is Sole Proprietor N

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This page was last updated on: 9/11/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.