Healthcare Provider Details

I. General information

NPI: 1598369977
Provider Name (Legal Business Name): DAVID M LOWE LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/25/2020
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3311 N UNIVERSITY AVE STE 200
PROVO UT
84604-7421
US

IV. Provider business mailing address

951 W 2000 N
PROVO UT
84604-1243
US

V. Phone/Fax

Practice location:
  • Phone: 801-960-3292
  • Fax:
Mailing address:
  • Phone: 801-367-4356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number8154344-3501
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: