| NPI | 1942950423 |
|---|---|
| Doing Business As | LOWCOUNTRY BEHAVIORAL PEDIATRICS, LLC |
| Entity Type | Organization |
| Authorized Contact | ASHLEY MARIE FOWLER Sole Proprietor 509-680-0093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2022-03-27 |
| Last Update Date | 2022-09-27 |