Provider Demographics
NPI:1437320280
Name:STOWELL, DARIN GUY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DARIN
Middle Name:GUY
Last Name:STOWELL
Suffix:
Gender:M
Credentials:PSYD
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 1669
Mailing Address - Street 2:
Mailing Address - City:ATASCADERO
Mailing Address - State:CA
Mailing Address - Zip Code:93422-1669
Mailing Address - Country:US
Mailing Address - Phone:805-461-6444
Mailing Address - Fax:805-461-6444
Practice Address - Street 1:555 PETERS AVE STE 120
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-6594
Practice Address - Country:US
Practice Address - Phone:805-461-6444
Practice Address - Fax:805-461-6444
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-20
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY17340103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist