Provider Demographics
NPI:1255414959
Name:ROWLETTE, HENRY ALLEN JR (PHD/LCSW)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:ALLEN
Last Name:ROWLETTE
Suffix:JR
Gender:M
Credentials:PHD/LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 HIGH ST STE 7
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOLLY
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-1401
Mailing Address - Country:US
Mailing Address - Phone:609-346-0880
Mailing Address - Fax:609-239-2065
Practice Address - Street 1:111 HIGH ST STE 7
Practice Address - Street 2:
Practice Address - City:MOUNT HOLLY
Practice Address - State:NJ
Practice Address - Zip Code:08060-1401
Practice Address - Country:US
Practice Address - Phone:609-346-0880
Practice Address - Fax:609-239-2065
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SCO13475001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical