Provider Demographics
NPI:1881838266
Name:DENNIS VOWELL II PSY.D
Entity Type:Organization
Organization Name:DENNIS VOWELL II PSY.D
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWENER
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:VOWELL
Authorized Official - Suffix:JR
Authorized Official - Credentials:PSYD
Authorized Official - Phone:870-236-2265
Mailing Address - Street 1:2210 W KINGSHIGHWAY
Mailing Address - Street 2:SUITE 3
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450-3917
Mailing Address - Country:US
Mailing Address - Phone:870-236-2265
Mailing Address - Fax:870-215-0772
Practice Address - Street 1:2210 W KINGSHIGHWAY
Practice Address - Street 2:SUITE 3
Practice Address - City:PARAGOULD
Practice Address - State:AR
Practice Address - Zip Code:72450-3917
Practice Address - Country:US
Practice Address - Phone:870-236-2265
Practice Address - Fax:870-215-0772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty