Provider Demographics
NPI:1962469940
Name:BOWERS, NELDA SHUMAN (LICENSED PSYCHOLOGIS)
Entity type:Individual
Prefix:
First Name:NELDA
Middle Name:SHUMAN
Last Name:BOWERS
Suffix:
Gender:F
Credentials:LICENSED PSYCHOLOGIS
Other - Prefix:
Other - First Name:NELL
Other - Middle Name:S
Other - Last Name:BOWERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LICENSED PSYCHOLOGIS
Mailing Address - Street 1:204 FARM LN
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-4714
Mailing Address - Country:US
Mailing Address - Phone:215-348-3379
Mailing Address - Fax:215-348-8487
Practice Address - Street 1:204 FARM LN
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-4714
Practice Address - Country:US
Practice Address - Phone:215-348-3379
Practice Address - Fax:215-348-8487
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS 001156-L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist