| Doctor Name: | ELLEN YOW |
| NPI Number: | 1174840755 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 2100 E Chambers Dr Booneville, MS - 388298938 |
| Business Phone Number: | 6627283174 |
| Business Fax Number: | 6627283175 |
| Mailing Address: | Po Box 839, CORINTH |
| State: | MS |
| Postal Code: | 388350839 |
| Phone Number: | 6622869883 |
| Fax Number: | 6622868095 |
| NPI Enumeration Date: | 04/22/2010 |
| NPI Last Update Date: | 04/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |