Healthcare Provider Details
I. General information
NPI: 1497901227
Provider Name (Legal Business Name): HANA MARIE LOWE MA, LMFT, CEAP, SAP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/12/2008
Last Update Date: 02/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
217M OLD HOMESTEAD HWY
SWANZEY NH
03446-2507
US
IV. Provider business mailing address
30 HIGHLAND CIRCLE RD
SWANZEY NH
03446-2507
US
V. Phone/Fax
- Phone: 603-479-9970
- Fax: 603-903-0416
- Phone: 603-903-0416
- Fax: 603-352-5538
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | 112 |
| License Number State | NH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | 35001594A |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: