Provider Demographics
NPI:1902098783
Name:ROWINSKI, KATHERINE SUZANNE (PHD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:SUZANNE
Last Name:ROWINSKI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 NORTHSHORE DRIVE
Mailing Address - Street 2:SUITE SOUTH 490
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-2808
Mailing Address - Country:US
Mailing Address - Phone:865-584-0171
Mailing Address - Fax:865-584-0174
Practice Address - Street 1:1111 NORTHSHORE DRIVE
Practice Address - Street 2:SUITE SOUTH 490
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-2808
Practice Address - Country:US
Practice Address - Phone:865-584-0171
Practice Address - Fax:865-584-0174
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-15
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP0000002993103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical