Christine Elizabeth Kanani Bowerman, PHD, LP

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

LP6088 Issued in MN

Practice address

1707 Miller Trunk Hwy
Duluth, MN 55811-1880

Phone

(218) 729-6480

Fax

(218) 729-9238

NPI assigned

Jan 5, 2017

Last updated

Jan 5, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1619412285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 MILLER TRUNK HWY",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558111880",
            "telephone_number": "218-729-6480",
            "fax_number": "218-729-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 MILLER TRUNK HWY",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558111880",
            "telephone_number": "218-729-6480",
            "fax_number": "218-729-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERMAN",
        "first_name": "CHRISTINE",
        "middle_name": "ELIZABETH KANANI",
        "name_prefix": "Dr.",
        "credential": "PHD, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP6088",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "MN",
            "license": "LP6088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alma Boucher
• Norman J Boucher, MD
• Nicole Bourgoyne, LGSW
• Sara Bovee, PSYD
• Gail E Bowdish, MD
• Dan Lee Bowman, LICSW
• Daniel Reed Bowman, M.D.
• Mark William Boyce
• Mary J Boylan, MD
• Emily Ann Boyle

• Forensic Psychologist in Duluth, MN
• Providers in Duluth, MN by specialty
• Forensic Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.