Mr Jeb Thomas Fowler, PHD - Psychologist in Cambridge, MA

Mr Jeb Thomas Fowler, PHD is a Psychologist - Psychoanalysis based in Cambridge, Massachusetts. Mr Jeb Thomas Fowler is licensed to practice in Massachusetts (license number 10122) and his current practice location is 1 Arnold Cir Ste 7, Cambridge, Massachusetts. He can be reached at his office (for appointments etc.) via phone at (617) 444-9513.

NPI number for Mr Jeb Thomas Fowler is 1023244852 and his current mailing address is 21 Bartlett Cres # 1, Brookline, Massachusetts. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023244852.

Contact Information

Mr Jeb Thomas Fowler, PHD
1 Arnold Cir Ste 7,
Cambridge, MA 02139-2250
(617) 444-9513
Not Available



Healthcare Provider's Profile

Full NameMr Jeb Thomas Fowler
GenderMale
SpecialityPsychologist - Psychoanalysis
Location1 Arnold Cir Ste 7, Cambridge, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023244852
  • Provider Enumeration Date: 06/08/2009
  • Last Update Date: 12/04/2015

Medical Identifiers

Medical identifiers for Mr Jeb Thomas Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023244852NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TP0814XPsychologist - Psychoanalysis 10122 (Massachusetts)Primary
103TC1900XPsychologist - Counseling 10122 (Massachusetts)Secondary
102L00000XPsychoanalyst 10122 (Massachusetts)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jeb Thomas Fowler is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jeb Thomas Fowler, PHD
21 Bartlett Cres # 1,
Brookline, MA 02446-2208

Ph: (617) 444-9513
Mr Jeb Thomas Fowler, PHD
1 Arnold Cir Ste 7,
Cambridge, MA 02139-2250

Ph: (617) 444-9513

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› Verified 6 days ago


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