William Patrick Fowler, M.D.

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

MD028029E Issued in PA

Practice address

190 Presidential Blvd Unit 510
Bala Cynwyd, PA 19004-1159

Phone

(610) 747-0378

NPI assigned

Mar 18, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1332028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332028800000",
    "number": "1871868240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 PRESIDENTIAL BLVD UNIT 510",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041159",
            "telephone_number": "610-747-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 PRESIDENTIAL BLVD UNIT 510",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041159",
            "telephone_number": "610-747-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "WILLIAM",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-18",
        "last_updated": "2012-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "PA",
            "license": "MD028029E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Julia Frascino, REGISTERED DIETITIAN
• Elio J Frattaroli, M.D.

• Prescribing (Medical) Psychologist in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Prescribing (Medical) Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2012; 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.