Provider Demographics
NPI:1649326141
Name:ROWE-LONCZYNSKI, CATHERINE MARY (PHD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:MARY
Last Name:ROWE-LONCZYNSKI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:CATHERINE
Other - Middle Name:MARY
Other - Last Name:ROWE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:8060 32 MILE RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48095-1315
Mailing Address - Country:US
Mailing Address - Phone:586-752-9577
Mailing Address - Fax:
Practice Address - Street 1:102 W SAINT CLAIR ST
Practice Address - Street 2:SUITE E
Practice Address - City:ROMEO
Practice Address - State:MI
Practice Address - Zip Code:48065-4654
Practice Address - Country:US
Practice Address - Phone:586-752-9577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301007255103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist