Provider Demographics
NPI:1982117792
Name:ROWE, AMY SCHREYER
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:SCHREYER
Last Name:ROWE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3811 W EL PRADO BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-8612
Mailing Address - Country:US
Mailing Address - Phone:813-391-4401
Mailing Address - Fax:727-767-7621
Practice Address - Street 1:3811 W EL PRADO BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33629-8612
Practice Address - Country:US
Practice Address - Phone:813-391-4401
Practice Address - Fax:727-767-7621
Is Sole Proprietor?:No
Enumeration Date:2017-11-15
Last Update Date:2017-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL760054200Medicaid