Provider Demographics
NPI:1790570901
Name:ROEWE, ANNA KATHRYN (MS)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:KATHRYN
Last Name:ROEWE
Suffix:
Gender:
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 BICKFORD ST
Mailing Address - Street 2:
Mailing Address - City:NEW LISBON
Mailing Address - State:WI
Mailing Address - Zip Code:53950-1533
Mailing Address - Country:US
Mailing Address - Phone:608-562-3976
Mailing Address - Fax:
Practice Address - Street 1:304 BICKFORD ST
Practice Address - Street 2:
Practice Address - City:NEW LISBON
Practice Address - State:WI
Practice Address - Zip Code:53950-1533
Practice Address - Country:US
Practice Address - Phone:608-562-3976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health