Provider Demographics
NPI:1194126193
Name:STOWE, CASEY RENEE (MS)
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:RENEE
Last Name:STOWE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4905 MIDTOWN LN APT 2408
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-3419
Mailing Address - Country:US
Mailing Address - Phone:561-818-2349
Mailing Address - Fax:
Practice Address - Street 1:4905 MIDTOWN LN APT 2408
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-3419
Practice Address - Country:US
Practice Address - Phone:561-818-2349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-09
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health