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Sandra Kathleen Bowling

Marriage & Family Therapist

Behavioral Health & Social Service Providers

5297 College Ave Ste 203, Oakland, CA 94618-1798

PECOS Enrollment

Based on the most recent information from CMS, provider Sandra Kathleen Bowling does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1043358963
Provider Type
Individual
Full Name
Bowling, Sandra Kathleen
Title
Ms.
Credential
MA

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/2/2007
Last Updated
3/8/2021

Contact Information

Practice Location

5297 College Ave Ste 203, Oakland, CA 94618-1798

(925) 640-1407

Unlisted Fax

Mailing Location

5297 College Ave Ste 203, Oakland, CA 94618-1798

(925) 640-1407

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License LMFT50888 California
Code 106H00000X	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 50888 California
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Sandra Kathleen Bowling

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Labua, David

Ghidinelli, Deborah

Polin, Stephen

Bandera-Hess, Melanie

Swedlow, Kara

Diamond, Cathy Jo

Mace, Phyllis Anne

Howard, Garrett

Lezin, Alexis

Van Vlack, Megan Kay