Provider Demographics
NPI:1346275930
Name:ROWE, RONALD (MFT)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:
Last Name:ROWE
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 E 30TH ST
Mailing Address - Street 2:SUITE A1
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-7332
Mailing Address - Country:US
Mailing Address - Phone:619-327-0315
Mailing Address - Fax:619-327-0316
Practice Address - Street 1:124 E 30TH ST
Practice Address - Street 2:SUITE A1
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-7332
Practice Address - Country:US
Practice Address - Phone:619-327-0315
Practice Address - Fax:619-327-0316
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8791106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist