DR. JEREMY ALLAN FOWLER NPI 1518502756

NPI Information

DR. Jeremy Allan Fowler is a health service psychologist in Fayetteville, AR. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). DR. Jeremy Allan Fowler NPI is 1518502756. 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:

1100 N COLLEGE AVE
FAYETTEVILLE, AR
ZIP 72703-944
Phone: (844) 501-8387

The enumeration date for this NPI number is 11/12/2019 and was last updated on 11/12/2019.

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:

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