DR. GEORGE PHILIP FOWLES ED.D. NPI 1396857025

NPI Information

NPI: 1396857025
Provider Name: DR. GEORGE PHILIP FOWLES, ED.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
3000 NEW BERN AVE
WAKEMED NEUROPSYCHOLOGY
RALEIGH, NC
ZIP 27610
Phone: (919) 350-8866
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DR. George Philip Fowles, ED.D. is a clinical neuropsychologist in Raleigh, NC. 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. DR. George Philip Fowles, ED.D. NPI is 1396857025. 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:

3000 NEW BERN AVE
WAKEMED NEUROPSYCHOLOGY
RALEIGH, NC
ZIP 27610-231
Phone: (919) 350-8866
Fax: (919) 350-7130

The enumeration date for this NPI number is 8/31/2006 and was last updated on 7/8/2007.

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	103G00000X	Clinical Neuropsychologist		1260	NORTH CAROLINA	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	2816182	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
2	046RM	MEDICAID	NORTH CAROLINA

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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