Provider Demographics
NPI:1780098335
Name:ROWLAND, BEVYN (PSYD)
Entity type:Individual
Prefix:DR
First Name:BEVYN
Middle Name:
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3115 FAIRMOUNT AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98661-4450
Mailing Address - Country:US
Mailing Address - Phone:360-521-9200
Mailing Address - Fax:
Practice Address - Street 1:601 MAIN ST
Practice Address - Street 2:SUITE 214
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-3402
Practice Address - Country:US
Practice Address - Phone:360-521-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-11
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60267694103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist