Provider Demographics
NPI:1124406111
Name:BOWYER, JOSHUA (AUD)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:BOWYER
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 W LORAIN ST
Mailing Address - Street 2:D
Mailing Address - City:OBERLIN
Mailing Address - State:OH
Mailing Address - Zip Code:44074-1096
Mailing Address - Country:US
Mailing Address - Phone:440-774-5819
Mailing Address - Fax:
Practice Address - Street 1:224 W LORAIN ST
Practice Address - Street 2:D
Practice Address - City:OBERLIN
Practice Address - State:OH
Practice Address - Zip Code:44074-1096
Practice Address - Country:US
Practice Address - Phone:440-774-5819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist