Healthcare Provider Details

I. General information

NPI: 1164539151
Provider Name (Legal Business Name): STEVEN P LOWNSBERY MFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 ALEXIAN DR STE 110
SAN JOSE CA
95116
US

IV. Provider business mailing address

1199 DEAN AVE
SAN JOSE CA
95125-3302
US

V. Phone/Fax

Practice location:
  • Phone: 408-272-6518
  • Fax: 408-272-6569
Mailing address:
  • Phone: 408-595-9451
  • Fax: 408-691-7804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT 31363
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: