Provider Demographics
NPI:1346274446
Name:ROWLAND, KENT (PHD)
Entity Type:Individual
Prefix:
First Name:KENT
Middle Name:
Last Name:ROWLAND
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 1:1971 W FIFTH AVE
Mailing Address - Street 2:STE 2
Mailing Address - City:COLS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-1905
Mailing Address - Country:US
Mailing Address - Phone:614-488-6285
Mailing Address - Fax:614-875-4121
Practice Address - Street 1:1971 W FIFTH AVE
Practice Address - Street 2:STE 2
Practice Address - City:COLS
Practice Address - State:OH
Practice Address - Zip Code:43212-1905
Practice Address - Country:US
Practice Address - Phone:614-488-6285
Practice Address - Fax:614-875-4121
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3147103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
Z59343Medicare UPIN
CP31152Medicare ID - Type Unspecified