Doctor Name: | TIMOTHY ROWLAND |
NPI Number: | 1194712034 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 042-0005584 |
Business Practice Address: | 1 Anna Marsh Lane Brattleboro, VT - 05301 |
Business Phone Number: | 8022577785 |
Business Fax Number: | |
Mailing Address: | P.o. Box 101, BRATTLEBORO |
State: | VT |
Postal Code: | 053020101 |
Phone Number: | 8022577785 |
Fax Number: | 8022583798 |
NPI Enumeration Date: | 10/05/2005 |
NPI Last Update Date: | 02/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | 042-0005584 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |