Healthcare Provider Details

I. General information

NPI: 1629519475
Provider Name (Legal Business Name): NATALIE M LOWE PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NATALIE M KLEMPEL PHD

II. Dates (important events)

Enumeration Date: 03/13/2017
Last Update Date: 04/13/2023
Certification Date: 04/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

744 HEARTLAND TRL
MADISON WI
53717-1982
US

IV. Provider business mailing address

744 HEARTLAND TRL
MADISON WI
53717-1982
US

V. Phone/Fax

Practice location:
  • Phone: 608-294-6008
  • Fax: 608-824-2675
Mailing address:
  • Phone: 608-294-6008
  • Fax: 608-824-2675

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number3593
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: