Provider Demographics
NPI:1902041015
Name:STOWE, REBECCA MARI (PHD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:MARI
Last Name:STOWE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 HICKS WAY
Mailing Address - Street 2:TOBIN HALL - PSYCHOLOGICAL SERVICES CENTER
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01003-9271
Mailing Address - Country:US
Mailing Address - Phone:413-545-0041
Mailing Address - Fax:
Practice Address - Street 1:135 HICKS WAY
Practice Address - Street 2:TOBIN HALL - PSYCHOLOGICAL SERVICES CENTER
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01003-9271
Practice Address - Country:US
Practice Address - Phone:413-545-0041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7867103TC0700X
103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent