Healthcare Provider Details

I. General information

NPI: 1740018027
Provider Name (Legal Business Name): SARAH GRACE LOWELL PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2024
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 SCOTT CIR
JBPHH HI
96853-5399
US

IV. Provider business mailing address

755 SCOTT CIR
JBPHH HI
96853-5399
US

V. Phone/Fax

Practice location:
  • Phone: 808-448-6377
  • Fax:
Mailing address:
  • Phone: 808-448-6377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number027018
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810008562
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: