Provider Demographics
NPI:1396853123
Name:ROWE, GAIL LYNNE (PHD)
Entity type:Individual
Prefix:DR
First Name:GAIL
Middle Name:LYNNE
Last Name:ROWE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1065 E PROSPECT ST
Mailing Address - Street 2:STE 2
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-4301
Mailing Address - Country:US
Mailing Address - Phone:206-361-4134
Mailing Address - Fax:
Practice Address - Street 1:1065 E PROSPECT ST
Practice Address - Street 2:STE 2
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-4301
Practice Address - Country:US
Practice Address - Phone:206-361-4134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY1730103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist