Fowler, Christie A

Fowler, Christie A is an sole proprietor health care provider with primary practice located at 4403 74Th St , Lubbock TX 79424-2307. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Fowler, Christie A can be contacted via phone (806) 795-0668.

Contact Information

Primary practice address
4403 74Th St Lubbock TX 79424-2307
Phone: (806) 795-0668
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 9751 Texas
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 114038 Texas

Profile Details

NPI number 1659540797
LBN Legal business name Fowler, Christie A
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2008
Last updated Aug 5th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659540797 NPPES
Texas MEDICAID 148686201

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