Charley William Bowen Jr., M.A.
Individual provider Active NPI Psychologist · Huntington, WV
NPI 1801078670 · NPPES record last updated Dec 3, 2007
Key facts
- NPI
- 1801078670
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 932 (WV)
- Practice address
- 2400 Johnstown Rd
Huntington, WV 25701-4738 - Phone
- (304) 522-7421
- Fax
- (304) 781-6727
- NPI assigned
- Dec 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
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 932 | WV | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological Consultation and Assessment | Psychologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 932 | WV | Yes |
Addresses
Primary practice location
2400 Johnstown Rd
Huntington, WV 25701-4738
Mailing address
2831 Sycamore Rd
Culloden, WV 25510-9316
Phone (304) 562-7307
Other providers in Huntington, WV
- Brittany Bowcott
- Kaylee Bowe
- Ronald D Bowe III
- Bowen Family Nutrition & Wellness, LLC.
- Anthony Tyler Bowen
- Derrick Bowen
- Destney L Bowen
- Jayson Bowen
- Jennifer Bowen
- Lisa D Bowen
All providers in Huntington, WV · Psychologist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.