Whalio Doctors

NPI 1023004884

Carol Rene Fowler, PSYD

Practitioner Clinical Psychologist Fort Rucker, AL

Practice location

Address
Sere Det, 1-145th Avn Regt Bldg 750, 3rd Ave, Fort Rucker, AL 32326
Phone
(334) 255-0441
Mailing address
302 Washington Ave, Enterprise, AL 36330-4411

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 1277 (AL)

Registry record

NPI
1023004884
Entity type
Individual
Sex (as registered)
Female
NPI issued
26 Sep 2005
Record last updated
6 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.