Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 3571 | CT |
Y | 103T00000X | Psychologist | 3571 | CT |
NPI | 1003363144 |
---|---|
Provider Name | Dr. David Alexander Rowe |
First Address | Ridgefield, CT 06877-2730 |
Second Address | Ridgefield, CT 06877-2730 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2016 |
Last Update Date | 22/09/2016 |