Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 336 | NH |
NPI | 1023059896 |
---|---|
Provider Name | Dr. Judith Bowie Rowan |
First Address | Exeter, NH 03833-2819 |
Second Address | Exeter, NH 03833-2819 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30010408 | (05) | NH |