Provider Demographics
NPI:1174102420
Name:ROWE, CATHERINE EMMA LUNT
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:EMMA LUNT
Last Name:ROWE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:397 N 900 W
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84601-2556
Mailing Address - Country:US
Mailing Address - Phone:443-910-4744
Mailing Address - Fax:
Practice Address - Street 1:397 N 900 W
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84601-2556
Practice Address - Country:US
Practice Address - Phone:443-910-4744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty