Doctor Name: | KARA JO LOWENSTEIN |
NPI Number: | 1528354529 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., C.C.C., SLP |
License Number: | 22005139A |
Business Practice Address: | 2622 Lake Ave Fort Wayne, IN - 468055410 |
Business Phone Number: | 2604603279 |
Business Fax Number: | 2604603158 |
Mailing Address: | 4251 Lahmeyer Rd, FORT WAYNE |
State: | IN |
Postal Code: | 468155676 |
Phone Number: | 2604324700 |
Fax Number: | 2604599262 |
NPI Enumeration Date: | 06/28/2011 |
NPI Last Update Date: | 03/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22005139A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |