Provider Demographics
NPI:1699160499
Name:STOWE, SONDRA (LMHC)
Entity type:Individual
Prefix:
First Name:SONDRA
Middle Name:
Last Name:STOWE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 N CHERYL ST
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10977-6510
Mailing Address - Country:US
Mailing Address - Phone:845-548-9804
Mailing Address - Fax:845-352-9529
Practice Address - Street 1:28 N CHERYL ST
Practice Address - Street 2:
Practice Address - City:CHESTNUT RIDGE
Practice Address - State:NY
Practice Address - Zip Code:10977-6510
Practice Address - Country:US
Practice Address - Phone:845-548-9804
Practice Address - Fax:845-352-9529
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-30
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006381101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health