Organization
ROWAN TREE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY STARR ROWAN PH.D. (SOLE OWNER/PROVIDER)
(804) 464-7763
Entity
Organization
Contact information
Practice address
13852 GREY FRIARS LN, MIDLOTHIAN, VA 23113-3938
(804) 464-7763
Mailing address
13852 GREY FRIARS LN, MIDLOTHIAN, VA 23113-3938
(804) 464-7763
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649568338
NPI
VA
Enumeration date
10/10/2022
Last updated
10/10/2022
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