Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | 33 | NH |
NPI | 1053521229 |
---|---|
Provider Name | Dr. Kaye Gravelie Bowles |
First Address | Newmarket, NH 03857-2123 |
Second Address | Newmarket, NH 03857-2123 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 08/07/2007 |