Provider Demographics
NPI:1457676157
Name:ROWELL, LAUREN DANYELLE
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:DANYELLE
Last Name:ROWELL
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 1:66 WHEELER CIR APT 85
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-1316
Mailing Address - Country:US
Mailing Address - Phone:617-840-3668
Mailing Address - Fax:
Practice Address - Street 1:66 WHEELER CIR APT 85
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-1316
Practice Address - Country:US
Practice Address - Phone:617-840-3668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-06
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor