Provider Demographics
NPI:1215731237
Name:BOWERS, JULIETTE (PSYD)
Entity type:Individual
Prefix:
First Name:JULIETTE
Middle Name:
Last Name:BOWERS
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:676 ANDREA DR
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95348-9669
Mailing Address - Country:US
Mailing Address - Phone:408-427-2702
Mailing Address - Fax:
Practice Address - Street 1:1 FEDERAL WAY
Practice Address - Street 2:
Practice Address - City:ATWATER
Practice Address - State:CA
Practice Address - Zip Code:95301-5174
Practice Address - Country:US
Practice Address - Phone:209-386-4661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PSY29889103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist