Provider Demographics
NPI:1316243991
Name:ROWLAND, JANE
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:JANE
Other - Middle Name:MARIE
Other - Last Name:ROWLAND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:999 HAYNES ST
Mailing Address - Street 2:SUITE 345
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-6712
Mailing Address - Country:US
Mailing Address - Phone:248-594-8444
Mailing Address - Fax:
Practice Address - Street 1:999 HAYNES ST
Practice Address - Street 2:SUITE 345
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-6712
Practice Address - Country:US
Practice Address - Phone:248-594-8444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-31
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010329081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical