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General NPI Number Information
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NPI Number | 1669898367
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Entity Type | Organization
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Legal Business Name | KIRSTEN LOWRY PSYCHOLOGIST INC
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Dates
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Enumeration Date | 03/05/2014
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Last Update Date | 03/05/2014
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Provider Practice Location Address
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Address Line | 1985 JOHNSON AVE
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-4131
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Country | US
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Telephone | 805-602-1062
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4524
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City | PASO ROBLES
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State | CA
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Zip | 93447-4524
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Country | US
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Telephone | 805-602-1062
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | DR. KIRSTEN LOWRY
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Credential | PH.D.
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Telephone | 805-602-1062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | PSY23890
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License Number State | CA
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