Organization Name: | JEFFREY P LOWERY PSYCHOLOGIST PC |
NPI Number: | 1033428859 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY PREST LOWERY (PRESIDENT) |
Mailing Address: | 1645 Falmouth Rd Ste 10f Centerville |
State: | MA US |
Postal Code: | 026322936 |
Phone Number: | 5087716029 |
Fax Number: | |
NPI Enumeration Date: | 09/28/2010 |
NPI Last Update Date: | 09/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |