Provider Demographics
NPI:1528783511
Name:BOWDLER, CLARE (CCC-SLP/L)
Entity type:Individual
Prefix:
First Name:CLARE
Middle Name:
Last Name:BOWDLER
Suffix:
Gender:F
Credentials:CCC-SLP/L
Other - Prefix:
Other - First Name:CLARE
Other - Middle Name:
Other - Last Name:O'ROURKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:229 WOLLERTON ST
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-2926
Mailing Address - Country:US
Mailing Address - Phone:484-318-3252
Mailing Address - Fax:
Practice Address - Street 1:229 WOLLERTON ST
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-2926
Practice Address - Country:US
Practice Address - Phone:484-318-3252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-11
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL016578235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist