Provider Demographics
NPI:1336376136
Name:ROWE, LEAH ANN
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:ANN
Last Name:ROWE
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:PO BOX 329
Mailing Address - Street 2:
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649-0329
Mailing Address - Country:US
Mailing Address - Phone:508-524-5135
Mailing Address - Fax:
Practice Address - Street 1:681 FALMOUTH RD STE D22
Practice Address - Street 2:
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649-6314
Practice Address - Country:US
Practice Address - Phone:508-524-5135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-18
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health