Individual provider · NPI-1

Katie Lynn Bowers, MA, LLP

Psychologist · Saint Clair Shores, MI

NPI number1114358900
StatusActive
Last updated in NPPESSep 12, 2025

Details

NPI
1114358900
Entity type
Individual (NPI-1)
Name
Katie Lynn Bowers
Credential
MA, LLP
Sex
Female
Sole proprietor
No
Enumeration date
Dec 5, 2013
Certification date
Sep 12, 2025
Last updated
Sep 12, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist6361003258MIYes

Practice location

29750 Harper Ave
Saint Clair Shores, MI 48082-2607

Phone 586-777-3200 · Fax 586-777-7855

Mailing address

79 W Alexandrine St
Detroit, MI 48201-2015

Phone 313-831-5535

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