Healthcare Provider Details

I. General information

NPI: 1295089183
Provider Name (Legal Business Name): CATHERINE PATRICIA ROWE LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2012
Last Update Date: 10/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 CENTRAL AVE FL 3
LYNN MA
01901-1220
US

IV. Provider business mailing address

10 DOGWOOD LN
NORTH READING MA
01864-1925
US

V. Phone/Fax

Practice location:
  • Phone: 781-477-7222
  • Fax:
Mailing address:
  • Phone: 781-534-0622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4401
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: