Provider Demographics
NPI:1871882019
Name:BOWMAN, MELANIE ERIN
Entity type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:ERIN
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:MELANIE
Other - Middle Name:ERIN
Other - Last Name:PRESENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:13787 BELCHER RD S
Mailing Address - Street 2:SUITE 220
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-4065
Mailing Address - Country:US
Mailing Address - Phone:727-723-7532
Mailing Address - Fax:727-797-4733
Practice Address - Street 1:13787 BELCHER RD S
Practice Address - Street 2:SUITE 220
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-4065
Practice Address - Country:US
Practice Address - Phone:727-723-7532
Practice Address - Fax:727-797-4733
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-28
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW101531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical