Provider Demographics
NPI:1871284059
Name:BOWMAN, ADAM DALTON (PSYD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:DALTON
Last Name:BOWMAN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 SHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:GALION
Mailing Address - State:OH
Mailing Address - Zip Code:44833-2026
Mailing Address - Country:US
Mailing Address - Phone:740-360-9042
Mailing Address - Fax:
Practice Address - Street 1:1037 W MARKET ST
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805-2729
Practice Address - Country:US
Practice Address - Phone:419-222-5077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist