Healthcare Provider Details

I. General information

NPI: 1952775504
Provider Name (Legal Business Name): MEGAN LOWDER POWELL SSP, LPES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2015
Last Update Date: 03/28/2026
Certification Date: 03/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1653 LOWDERS LN
SCRANTON SC
29591-5621
US

IV. Provider business mailing address

1653 LOWDERS LN
SCRANTON SC
29591-5621
US

V. Phone/Fax

Practice location:
  • Phone: 843-389-0667
  • Fax:
Mailing address:
  • Phone: 843-598-0667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number4642
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: