Provider Demographics
NPI:1841424942
Name:ROWLEY, LISA MARIE COLLINS (PHD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:MARIE COLLINS
Last Name:ROWLEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:MARIE
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1151 DOVE STREET,
Mailing Address - Street 2:SUITE 150 CENTER FOR FAMILY THERAPY
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660
Mailing Address - Country:US
Mailing Address - Phone:949-250-9194
Mailing Address - Fax:949-250-9193
Practice Address - Street 1:1151 DOVE STREET,
Practice Address - Street 2:SUITE 150 CENTER FOR FAMILY THERAPY
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660
Practice Address - Country:US
Practice Address - Phone:949-250-9194
Practice Address - Fax:949-250-9193
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-05
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY17564103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist