MEDICARE: GINGER S. ROWAN, M.S., L.M.F.T

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	MF000360	PA

General Provider Information

NPI Number	:	1972747970
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GINGER S. ROWAN, M.S., L.M.F.T

Provider Business Mailing Address
First Line	:	PO BOX 163
Second Line	:
City	:	NEWTOWN SQUARE
State	:	PA
Zip	:	19073-0163
Country	:	US
Telephone Number	:	610-359-0278
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 S CHESTER RD
Second Line	:	SUITE 4
City	:	SWARTHMORE
State	:	PA
Zip	:	19081-1919
Country	:	US
Telephone Number	:	610-359-0278
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. GINGER S. ROWAN
Credential	:	M.S., L.M.F.T.
Telephone Number	:	610-359-0278

Provider Enumeration Date	:	04/22/2009
Last Update Date	:	04/22/2009

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