Healthcare Provider Details

I. General information

NPI: 1376726604
Provider Name (Legal Business Name): MARGARET ALICE LOWE PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2007
Last Update Date: 01/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1148 4TH ST
MUSKEGON MI
49441-1921
US

IV. Provider business mailing address

1148 4TH ST
MUSKEGON MI
49441-1921
US

V. Phone/Fax

Practice location:
  • Phone: 231-726-2299
  • Fax: 231-728-6345
Mailing address:
  • Phone: 231-726-2299
  • Fax: 231-728-6345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6301013756
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number6301013756
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number6301013756
License Number StateMI
# 4
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6301013756
License Number StateMI
# 5
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number6301013756
License Number StateMI
# 6
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number6301013756
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: