Doctor Name: | JODI SUE LOWRY |
NPI Number: | 1104932151 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW-R, ACSW |
License Number: | R053915 |
Business Practice Address: | 3209 Vestal Pkwy E Suite E Vestal, NY - 138502154 |
Business Phone Number: | 6077293003 |
Business Fax Number: | 6077293004 |
Mailing Address: | 3209 Vestal Pkwy E, Suite E VESTAL |
State: | NY |
Postal Code: | 138502154 |
Phone Number: | 6077293003 |
Fax Number: | 6077293004 |
NPI Enumeration Date: | 08/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R053915 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |