Provider Demographics
NPI:1831386416
Name:ROWELL, JEWEL T (SLP)
Entity type:Individual
Prefix:MRS
First Name:JEWEL
Middle Name:T
Last Name:ROWELL
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3645 GENTIAN BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31907-5687
Mailing Address - Country:US
Mailing Address - Phone:706-326-5842
Mailing Address - Fax:
Practice Address - Street 1:3645 GENTIAN BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907-5687
Practice Address - Country:US
Practice Address - Phone:706-326-5842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-27
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP006041235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist