Provider Demographics
NPI:1225716467
Name:STOWERS, DEVONNE ELIZABETH
Entity Type:Individual
Prefix:
First Name:DEVONNE
Middle Name:ELIZABETH
Last Name:STOWERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 PLEASANT ST UNIT 5
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-2931
Mailing Address - Country:US
Mailing Address - Phone:602-429-1999
Mailing Address - Fax:
Practice Address - Street 1:112 PLEASANT ST UNIT 5
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2931
Practice Address - Country:US
Practice Address - Phone:602-429-1999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health