Healthcare Provider Details

I. General information

NPI: 1699827006
Provider Name (Legal Business Name): THELMA J ROWE PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 W CAMELBACK RD SUITE 150
PHOENIX AZ
85015-3466
US

IV. Provider business mailing address

2001 W CAMELBACK RD SUITE 150
PHOENIX AZ
85015-3466
US

V. Phone/Fax

Practice location:
  • Phone: 602-864-1747
  • Fax: 602-864-2949
Mailing address:
  • Phone: 602-864-1747
  • Fax: 602-864-2949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number3013
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: