GREGORY SCOTT SOWLES HSPP LMHC PHD NPI 1639182694

NPI Information

NPI: 1639182694
Provider Name: GREGORY SCOTT SOWLES, HSPP LMHC PHD
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
10315 DAWSONS CREEK BLVD STE E
FORT WAYNE, IN
ZIP 46825
Phone: (260) 387-6340
Get Directions

Gregory Scott Sowles, HSPP LMHC PHD is a clinical neuropsychologist in Fort Wayne, IN with 33 years of experience. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. Gregory Scott Sowles, HSPP LMHC PHD NPI is 1639182694. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10315 DAWSONS CREEK BLVD STE E
FORT WAYNE, IN
ZIP 46825-912
Phone: (260) 387-6340
Fax: (260) 387-6984

The NPI 1639182694 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 5/29/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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	103TF0200X	Psychologist	Forensic	20040656	INDIANA	No
2	101YM0800X	Counselor	Mental Health	39001155	INDIANA	No
3	103G00000X	Clinical Neuropsychologist		20040656	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200905570A	OTHER	INDIANA	MEDICAID VISION' GROUP NO.
2	200380270	MEDICAID	INDIANA
3	258620	OTHER	INDIANA	VISION MEDICARE GROUP NO
4	258620A	MEDICARE PIN	INDIANA
5	35-1942776	MEDICARE UPIN	INDIANA
6	202100A	MEDICARE ID-TYPE UNSPECIFIED	INDIANA
7	139770A	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	MEDICARE 'B' VISION COUNS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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