Provider Demographics
NPI:1699547182
Name:BOWERS, EMMA ELIZABETH (AMFT)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:ELIZABETH
Last Name:BOWERS
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2381 GLENSIDE LN
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93012-8804
Mailing Address - Country:US
Mailing Address - Phone:805-509-7220
Mailing Address - Fax:
Practice Address - Street 1:2381 GLENSIDE LN
Practice Address - Street 2:
Practice Address - City:SANTA ROSA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93012-8804
Practice Address - Country:US
Practice Address - Phone:805-509-7220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-26
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist