1942459318 NPI number — MS. VIRGINIA S. ROWAN M.S., L.M.F.T.

Table of content: MS. VIRGINIA S. ROWAN M.S., L.M.F.T. (NPI 1942459318)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942459318 NPI number — MS. VIRGINIA S. ROWAN M.S., L.M.F.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROWAN
Provider First Name:
VIRGINIA
Provider Middle Name:
S.
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.S., L.M.F.T.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ROWAN
Provider Other First Name:
GINGER
Provider Other Middle Name:
S
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.S., L.M.F.T.
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1942459318
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/10/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 163
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEWTOWN SQUARE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19073
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-359-0278
Provider Business Mailing Address Fax Number:
610-359-0277

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
225 S. CHESTER RD
Provider Second Line Business Practice Location Address:
SUITE 4
Provider Business Practice Location Address City Name:
SWARTHMORE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19081
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-284-4646
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/10/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  MF000360 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)