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General NPI Number Information
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NPI Number | 1700701422
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Entity Type | Organization
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Legal Business Name | LOWDER PSYCHOLOGY GROUP
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 1218 GREENWOOD AVE
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City | JACKSON
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State | MI
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Zip | 49203-3037
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Country | US
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Telephone | 517-998-0002
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Fax |
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Provider Business Mailing Address
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Address Line | 1218 GREENWOOD AVE
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City | JACKSON
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State | MI
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Zip | 49203-3037
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Country | US
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Telephone | 517-998-0002
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHANNON MARIE LOWDER
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Credential | PSYD
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Telephone | 516-998-0002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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