Provider Demographics
NPI:1285780700
Name:CATHERINE ROWE-LONCZYNSKI
Entity type:Organization
Organization Name:CATHERINE ROWE-LONCZYNSKI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:ROWE-LONCZYNSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:586-752-9577
Mailing Address - Street 1:8060 32 MILE RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48095-1315
Mailing Address - Country:US
Mailing Address - Phone:586-752-9577
Mailing Address - Fax:
Practice Address - Street 1:102 W SAINT CLAIR ST
Practice Address - Street 2:SUITE E
Practice Address - City:ROMEO
Practice Address - State:MI
Practice Address - Zip Code:48065-4654
Practice Address - Country:US
Practice Address - Phone:586-752-9577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI630107255103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI680E017920Medicare UPIN