Healthcare Provider Details

I. General information

NPI: 1821144494
Provider Name (Legal Business Name): STEPHEN C. LOWER PSYCHOLOGY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 08/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 OXFORD VALLEY ROAD SUITE 301B
YARDLEY PA
19067
US

IV. Provider business mailing address

301 OXFORD VALLEY ROAD SUITE 301B
YARDLEY PA
19067
US

V. Phone/Fax

Practice location:
  • Phone: 215-321-5780
  • Fax: 215-321-8155
Mailing address:
  • Phone: 215-321-5780
  • Fax: 215-321-8155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN C. LOWER
Title or Position: OWNER/DIRECTOR
Credential: PHD
Phone: 215-321-5780