Provider Demographics
NPI:1699839209
Name:ROWLEY, GWENDOLYN (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:GWENDOLYN
Middle Name:
Last Name:ROWLEY
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5970 LAWRENCE HILL RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGWATER
Mailing Address - State:NY
Mailing Address - Zip Code:14560-9612
Mailing Address - Country:US
Mailing Address - Phone:720-878-2591
Mailing Address - Fax:
Practice Address - Street 1:5970 LAWRENCE HILL RD
Practice Address - Street 2:
Practice Address - City:SPRINGWATER
Practice Address - State:NY
Practice Address - Zip Code:14560-9612
Practice Address - Country:US
Practice Address - Phone:720-878-2591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027074-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist