Ms. Jacqueline Bernice Fowler
Naturopath Group Psychotherapist
8620 Maple Ave
Gary
, Indiana 46403-1423
Ms. Jacqueline Bernice Fowler
Naturopath Group Psychotherapist
8620 Maple Ave
Gary
, Indiana 46403-1423
(219) 963-2956
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About
Features
Specialties
- Group Psychotherapist
- Naturopath
Languages spoken
- English
Location
First Address
- Ms. Jacqueline Bernice Fowler
- 8620 Maple Ave
- Gary, IN
- Zip : 46403-1423
- Phone : (219) 963-2956
Second Address
- Ms. Jacqueline Bernice Fowler
- 8620 Maple Ave
- Gary, IN
- Zip : 46403-1423
- Phone : (219) 963-2956
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Is Ms. Jacqueline Bernice Fowler a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TP2701X | Group Psychotherapist | ||
| N | 175F00000X | Naturopath |
National Provider Identifier
| NPI | 1053582445 |
|---|---|
| Provider Name | Ms. Jacqueline Bernice Fowler |
| First Address | Gary, IN 46403-1423 |
| Second Address | Gary, IN 46403-1423 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/03/2008 |
| Last Update Date | 02/11/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00000 | HOLISTIC ALTERNATIVE PSYCHOLOGY PRACTITIONER (01) | IN |
| MT209011898 | LICENSED MASSAGE THERAPIST/ MECHANO THERAPIST (01) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.