Healthcare Provider Details

I. General information

NPI: 1740683234
Provider Name (Legal Business Name): CHRISTINA M ROWAN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA M RUMMELL PH.D.

II. Dates (important events)

Enumeration Date: 09/29/2014
Last Update Date: 04/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 ARCH ST SUITE 260
AKRON OH
44304-1437
US

IV. Provider business mailing address

95 ARCH ST SUITE 260
AKRON OH
44304-1437
US

V. Phone/Fax

Practice location:
  • Phone: 330-375-6590
  • Fax: 330-375-6593
Mailing address:
  • Phone: 330-375-6590
  • Fax: 330-375-6593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number7179
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: