NPI 1992942510 · live from the CMS NPI Registry
Dwain Bowline, LMFT
Marriage & Family Therapist in Broken Arrow, OK. National Provider Identifier 1992942510, active.
NPI record
| NPI | 1992942510 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 716 S Main St, Broken Arrow, OK 74012 |
| Practice phone | 918-367-1130 |
| Mailing address | Po Box 1078, Bristow, OK 74010 |
| Enumerated | January 20, 2009 |
| Last updated | January 20, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 586 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.