Doctor Name: | MARY BETH LOWERY |
NPI Number: | 1407863996 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | C746 |
Business Practice Address: | 1706 Highway 71 N Mena, AR - 719538917 |
Business Phone Number: | 4793944800 |
Business Fax Number: | 4793944805 |
Mailing Address: | 1210 Cole St, P.o. Box 1492 MENA |
State: | AR |
Postal Code: | 719533719 |
Phone Number: | 4793942013 |
Fax Number: | 4793944805 |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C746 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |