Provider Demographics
NPI:1659785509
Name:DANIEL ROWAN
Entity Type:Organization
Organization Name:DANIEL ROWAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL & COUNSELING PSYCHOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:610-955-3659
Mailing Address - Street 1:4111 MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-1611
Mailing Address - Country:US
Mailing Address - Phone:610-955-3659
Mailing Address - Fax:
Practice Address - Street 1:4111 MEADOW LN
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-1611
Practice Address - Country:US
Practice Address - Phone:610-955-3659
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-18
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health