Organization
GIGI P STOWE PHD PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIGI PINNELL STOWE PHD (OWNER)
(812) 961-3837
Entity
Organization
Contact information
Practice address
101 W KIRKWOOD AVE, SUITE 216, BLOOMINGTON, IN 47404-6129
(812) 961-3837
Mailing address
101 W KIRKWOOD AVE, SUITE 216, BLOOMINGTON, IN 47404-6129
(812) 961-3837
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042141A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200920520
—
IN
Enumeration date
05/13/2008
Last updated
02/04/2009
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