Individual
GLEN ROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAF
Contact information
Practice address
1212 BATH AVE, ASHLAND, KY 41101-2696
(606) 329-8588
(606) 329-8195
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
115
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30610026
—
KY
Enumeration date
08/31/2007
Last updated
08/31/2007
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