Provider Demographics
NPI:1841322138
Name:ROWE, NANETTE PATRICIA (PHD)
Entity type:Individual
Prefix:DR
First Name:NANETTE
Middle Name:PATRICIA
Last Name:ROWE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 STAMBAUGH ST
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-1905
Mailing Address - Country:US
Mailing Address - Phone:650-363-8384
Mailing Address - Fax:650-306-9323
Practice Address - Street 1:142 STAMBAUGH ST
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-1905
Practice Address - Country:US
Practice Address - Phone:650-363-8384
Practice Address - Fax:650-306-9323
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY14370103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist