Provider Demographics
NPI:1184945354
Name:STOWE, EMILY
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:STOWE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:674 UNION PINES CT
Mailing Address - Street 2:
Mailing Address - City:MIDVALE
Mailing Address - State:UT
Mailing Address - Zip Code:84047-2339
Mailing Address - Country:US
Mailing Address - Phone:801-953-9733
Mailing Address - Fax:
Practice Address - Street 1:674 UNION PINES CT
Practice Address - Street 2:
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047-2339
Practice Address - Country:US
Practice Address - Phone:801-953-9733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-22
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst