Carol Rene Fowler, PSYD

NPI #1023004884 in Fort Rucker, Alabama

Provider Information

NPI Number
1023004884
Entity Type
Individual
Name
Carol Rene Fowler, PSYD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Clinical
Credential
PSYD
Enumeration Date
Sep 26, 2005
Last Updated
Jun 6, 2012

Practice Location

Address
SERE DET, 1-145TH AVN REGT
Address 2
BLDG 750, 3RD AVE
State
Alabama
ZIP Code
32326
Phone
(334) 255-0441

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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