Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr Bruce a Fowler P C

Organization Clinical Psychologist · NPI 1992903363

Dr Bruce a Fowler P C is a Clinical Psychologist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007

Practice location Address checks out

2090 Celebration Dr NE Ste 212
Grand Rapids, MI 49525-9200
Phone: (616) 450-4601
Fax: (616) 608-0108
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301006137 (MI)

Record details

NPI number1992903363
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Fowler — President · (616) 450-4601
NPI enumeratedJuly 6, 2007
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024
Mailing address2090 Celebration Dr Ne, Suite 212, Grand Rapids, MI 49525-9200

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