Provider Demographics
NPI:1700855061
Name:BOWMAN, LINDA K (PHD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:K
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12415 LAKE CITY BLVD SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98498-4205
Mailing Address - Country:US
Mailing Address - Phone:253-232-4727
Mailing Address - Fax:253-590-0837
Practice Address - Street 1:12415 LAKE CITY BLVD SW
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98498-4205
Practice Address - Country:US
Practice Address - Phone:253-232-4727
Practice Address - Fax:253-590-0837
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-17
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00001551103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAS15818Medicare UPIN