Rowan, Leslie A

Rowan, Leslie A is an sole proprietor health care provider with primary practice located at 2100 South Columbia Road Suite 202, Grand Forks ND 58201. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Cognitive & Behavioral is her primary health care specialty. Rowan, Leslie A can be contacted via phone (701) 772-1588.

Contact Information

Primary practice address
2100 South Columbia Road Suite 202 Grand Forks ND 58201
Phone: (701) 772-1588
Fax: (701) 746-6077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 348 North Dakota
Behavioral Health & Social Service Providers / Clinical 103TC0700X 348 North Dakota
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 348 North Dakota

Profile Details

NPI number 1033210570
LBN Legal business name Rowan, Leslie A
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Nov 3rd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033210570 NPPES
North Dakota Other A006 TRICARE
North Dakota MEDICAID 408918900 TRICARE
North Dakota Other 356J7RO TRICARE
North Dakota MEDICAID 11758 TRICARE
North Dakota Other 22997 TRICARE

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