Provider Demographics
NPI:1194801118
Name:BOWDITCH, WINDI TAI-ALAE (MA, LMHC)
Entity type:Individual
Prefix:MS
First Name:WINDI
Middle Name:TAI-ALAE
Last Name:BOWDITCH
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 MOUNT VERNON ST
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-6317
Mailing Address - Country:US
Mailing Address - Phone:617-962-5180
Mailing Address - Fax:
Practice Address - Street 1:65 NEWBURYPORT TPKE
Practice Address - Street 2:
Practice Address - City:NEWBURY
Practice Address - State:MA
Practice Address - Zip Code:01951-1113
Practice Address - Country:US
Practice Address - Phone:617-962-5180
Practice Address - Fax:617-689-2969
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4903101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health