Dr. Matthew Bennett Fowler, PsyD
Psychologist, Forensic in Kansas City, MO. Individual provider (NPI-1).
NPI number1093229247
StatusActive
Last updated in NPPESNov 27, 2017
Details
- NPI
- 1093229247
- Entity type
- Individual (NPI-1)
- Name
- Dr. Matthew Bennett Fowler
- Credential
- PsyD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 27, 2017
- Last updated
- Nov 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TF0200X | Psychologist, Forensic | 2017002014 | MO | Yes |
| 103T00000X | Psychologist | 2017002014 | MO |
Practice location
1000 E 24th StKansas City, MO 64108-2776
Phone 816-512-7293 · Fax 816-512-7252
Mailing address
1000 E 24th StKansas City, MO 64108-2776
Phone 816-512-7293 · Fax 816-512-7252
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