Individual
RICHARD ROWLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4350 SIR ROBERT AVE, NORTH ROYALTON, OH 44133-4139
(440) 390-8903
Mailing address
PO BOX 660, MENTOR, OH 44061-0660
(440) 390-8903
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P.5557
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000296011
ANTHEM BLUE SHIELD
OH
05
—
2206071
—
OH
01
—
432021960RR
SUMMACARE
OH
Enumeration date
07/28/2005
Last updated
04/08/2024
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