Provider Demographics
NPI:1912127218
Name:SOWELL, DENNIS (PSYCHOLOGIST)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:
Last Name:SOWELL
Suffix:
Gender:M
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6952 JACKSON DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92119-3005
Mailing Address - Country:US
Mailing Address - Phone:619-890-9697
Mailing Address - Fax:
Practice Address - Street 1:6952 JACKSON DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92119-3005
Practice Address - Country:US
Practice Address - Phone:619-890-9697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2012-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist