Wesley Roland Bowman, PH.D.
Individual provider Active NPI Counseling Psychologist · Wilmington, DE
NPI 1629199849 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1629199849
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counseling Psychologist 103TC1900X
- License
- B10000161 (DE)
- Practice address
- 3608 Lancaster Pike
Wilmington, DE 19805-1509 - Phone
- (302) 995-9600
- Fax
- (302) 995-9571
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2013 through Oct 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B10000161 | DE | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware Family Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | B10000161 | DE | Yes |
Addresses
Primary practice location
3608 Lancaster Pike
Wilmington, DE 19805-1509
Mailing address
3608 Lancaster Pike
Wilmington, DE 19805-1509
Phone (302) 995-9600
Other providers in Wilmington, DE
- Adam S Bowman
- Amanda Bowman
- Bryan Bowman
- Elizabeth M Bowman
- Josette E Bowman
- Linda A. Boyajian-Conboy
- Hilary Boyce
- Barry C Boyd
- Caroline D. Boyd
- Christopher David Boyd
All providers in Wilmington, DE · Counseling Psychologist in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.