Laura Anne Bowlin, LMFTA

Individual provider Active NPI Counseling Psychologist · Mercer Island, WA

NPI 1093541302 · NPPES record last updated Sep 12, 2024

Key facts

NPI
1093541302
Entity type
Individual (NPI type 1)
Primary specialty
Counseling Psychologist 103TC1900X
License
MG61549045 (WA)
Practice address
8202 SE 30TH St
Mercer Island, WA 98040-3011
Phone
(425) 283-3118
NPI assigned
Sep 12, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MG61549045WAMDCounseling Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X MG61549045 WA Yes

Addresses

Primary practice location

8202 SE 30TH St
Mercer Island, WA 98040-3011

Mailing address

8202 SE 30TH St
Mercer Island, WA 98040-3011
Phone (425) 283-3118

Other providers in Mercer Island, WA

All providers in Mercer Island, WA · Counseling Psychologist in Washington

Sources for this page

Verify at the official NPI Registry.