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

Individual provider Clinical Psychologist · NPI 1881792497

Dr. Bruce Allen Fowler, PSYD is a Clinical Psychologist in Grand Rapids, Michigan. Qualified in 1984, 42 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
42
Licensed in
MI
In the registry since
2006
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

2090 Celebration Dr NE Ste 212
Grand Rapids, MI 49525-9200
Phone: (616) 450-4601
Fax: (616) 608-0108
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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 number1881792497
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedSeptember 20, 2006
Last updated in NPPESFebruary 8, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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