Provider Demographics
NPI:1588330963
Name:STOWE, ANN E (LPC)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:E
Last Name:STOWE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 BRADFORD RD STE 100
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-6920
Mailing Address - Country:US
Mailing Address - Phone:724-776-4844
Mailing Address - Fax:724-776-0860
Practice Address - Street 1:105 BRADFORD RD STE 100
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-6920
Practice Address - Country:US
Practice Address - Phone:724-776-4844
Practice Address - Fax:724-776-0860
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013283101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional