Provider Demographics
NPI:1245126713
Name:ROWENS, CARL LOUIS III
Entity type:Individual
Prefix:
First Name:CARL
Middle Name:LOUIS
Last Name:ROWENS
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12829 EASTERN SHORE DR
Mailing Address - Street 2:
Mailing Address - City:EASTVALE
Mailing Address - State:CA
Mailing Address - Zip Code:92880-3458
Mailing Address - Country:US
Mailing Address - Phone:951-818-2176
Mailing Address - Fax:
Practice Address - Street 1:12829 EASTERN SHORE DR
Practice Address - Street 2:
Practice Address - City:EASTVALE
Practice Address - State:CA
Practice Address - Zip Code:92880-3458
Practice Address - Country:US
Practice Address - Phone:951-818-2176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily