Provider Demographics
NPI:1992794895
Name:ROWE-TEETER, COURTNEY A (MS, LCGC)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:A
Last Name:ROWE-TEETER
Suffix:
Gender:F
Credentials:MS, LCGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 BLAKE WILBUR DR
Mailing Address - Street 2:ROOM W3036
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-5317
Mailing Address - Country:US
Mailing Address - Phone:650-736-7252
Mailing Address - Fax:650-498-5150
Practice Address - Street 1:900 BLAKE WILBUR DR
Practice Address - Street 2:ROOM W3036
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-5317
Practice Address - Country:US
Practice Address - Phone:650-736-7252
Practice Address - Fax:650-498-5150
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2013-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS