Provider Demographics
NPI:1942459318
Name:ROWAN, VIRGINIA S (MS, LMFT)
Entity Type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:S
Last Name:ROWAN
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:MS
Other - First Name:GINGER
Other - Middle Name:S
Other - Last Name:ROWAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, LMFT
Mailing Address - Street 1:P.O. BOX 163
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073
Mailing Address - Country:US
Mailing Address - Phone:610-359-0278
Mailing Address - Fax:610-359-0277
Practice Address - Street 1:225 S. CHESTER RD
Practice Address - Street 2:SUITE 4
Practice Address - City:SWARTHMORE
Practice Address - State:PA
Practice Address - Zip Code:19081
Practice Address - Country:US
Practice Address - Phone:215-284-4646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000360106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist