Search › Florida › 103TC0700X
Shannon Fowler, PHD, LP
NPI 1619378650 · on the registry since 2014
Practice
- Address
- 741 Riverbend Blvd
Longwood, FL 32779 - Phone
- (734) 474-0530
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TC0700X
103TC0700X - Licence states on file
- VA, MI, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida