Doctor Name: | MR. BARRY ROSS STOWERS |
NPI Number: | 1033262886 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW LMSW |
License Number: | 6801033097 |
Business Practice Address: | 705 Oak St Suite 10 Big Rapids, MI - 493073107 |
Business Phone Number: | 2315921318 |
Business Fax Number: | |
Mailing Address: | 1009 Loudon St, BIG RAPIDS |
State: | MI |
Postal Code: | 493071233 |
Phone Number: | 2315925729 |
Fax Number: | |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801033097 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |