Mr. Jeb T Fowler, PHD
Psychologist, Psychoanalysis in Cambridge, Massachusetts
1023244852- Practice location
- 1 Arnold Cir Ste 7, Cambridge, MA 02139-2250
- Phone
- 617-444-9513
- Fax
- —
- Last updated
- December 4, 2015
Jeb Thomas Fowler is a Psychologist, Psychoanalysis based in Cambridge, MA. Jeb Thomas Fowler practices in Cambridge, MA and has the professional credentials of PHD. The NPI Number for Jeb Thomas Fowler is 1023244852 and holds a License No. 10122 (MA). The current practice location address for Jeb Thomas Fowler is 1 Arnold Cir Ste 7, Cambridge, MA 02139-2250 and can be reached out via phone at 617-444-9513.
Provider Profile Details
- NPI Number
- 1023244852
- Provider Name
- Jeb Thomas Fowler
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Arnold Cir Ste 7, Cambridge, MA 02139-2250
- Phone Number
- 617-444-9513
- Primary Taxonomy
- Psychologist, Psychoanalysis · 103TP0814X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 8, 2009
- Last Update Date
- December 4, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Arnold Cir Ste 7
Cambridge, MA 02139-2250 - City
- Cambridge
- State
- Massachusetts
- Zip
- 02139-2250
- Phone Number
- 617-444-9513
Provider Business Mailing Address Details
- Address
- 21 Bartlett Cres # 1
Brookline, MA 02446-2208 - City
- Brookline
- State
- MA
- Zip
- 02446-2208
- Phone Number
- 617-444-9513
License Information
- License Number (1)
- 10122
- License State (1)
- MA
- Taxonomy (1)
- Psychologist, Psychoanalysis · 103TP0814X · Primary
- License Number (2)
- 10122
- License State (2)
- MA
- Taxonomy (2)
- Psychologist, Counseling · 103TC1900X
- License Number (3)
- 10122
- License State (3)
- MA
- Taxonomy (3)
- Psychoanalyst · 102L00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Jeb T Fowler, PHD?
The NPI number of Mr. Jeb T Fowler, PHD is 1023244852. It was assigned on June 8, 2009 and is currently active in the NPPES registry.
What is the specialty of Mr. Jeb T Fowler, PHD?
Mr. Jeb T Fowler, PHD is registered under the primary taxonomy Psychologist, Psychoanalysis (code 103TP0814X), licensed in MA under license number 10122.
Where does Mr. Jeb T Fowler, PHD practice?
The practice location is 1 Arnold Cir Ste 7, Cambridge, MA 02139-2250. The office can be reached at 617-444-9513 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023244852 directly on the NPPES registry website.