Provider Demographics
NPI:1871616524
Name:ROWE, THOMAS B (PHD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:B
Last Name:ROWE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1946
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98807-1946
Mailing Address - Country:US
Mailing Address - Phone:509-663-6828
Mailing Address - Fax:509-663-1152
Practice Address - Street 1:25 N WENATCHEE AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-2282
Practice Address - Country:US
Practice Address - Phone:509-663-6828
Practice Address - Fax:509-663-1152
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA0001128103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical