Lisa A Bowline, CASAC A is a
Psychologist - Addiction (substance Use Disorder) based in Auburn, New York. Lisa A Bowline is licensed to practice in New York (license number 35025) and her current practice location is
133 N Lewis St, Auburn, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 382-3334.
NPI number for Lisa A Bowline is 1033092614 and her current mailing address is 329 N Salina St, Syracuse, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033092614.
Healthcare Provider's Profile
| Full Name | Lisa A Bowline |
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| Gender | Female |
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| Speciality | Psychologist - Addiction (substance Use Disorder) |
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| Location | 133 N Lewis St, Auburn, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1033092614
- Provider Enumeration Date: 07/30/2025
- Last Update Date: 07/30/2025
Medical Identifiers
Medical identifiers for Lisa A Bowline such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033092614 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 35025 (NU) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 35025 (New York) | Primary |
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. Lisa A Bowline 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 Address | Practice Location Address |
|---|
Lisa A Bowline, CASAC A
329 N Salina St,
Syracuse, NY 13203-1755
Ph: (315) 471-1564 | Lisa A Bowline, CASAC A
133 N Lewis St,
Auburn, NY 13021-2027
Ph: (315) 382-3334 |
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