Individual provider · Type 1 NPI

Shannon Fowler, PhD, LP

Clinical Psychologist · Longwood, FL

NPI number 1619378650 Active

Practice location

741 Riverbend Blvd
Longwood, FL 32779-2347

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X0810005172 (VA)
Clinical Psychologist Primary 103TC0700X6301016051 (MI)
Clinical Psychologist 103TC0700XPY10662 (FL)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1619378650

Shannon Fowler, PhD, LP's National Provider Identifier is 1619378650, issued on Sep 9, 2014. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Longwood, FL. The record was last updated on Dec 9, 2021.