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1982919916 NPI number — PHILLIP T LOWE PSY.D

NPI Number: 1982919916
Health Care Provider/Practitioner: PHILLIP T LOWE PSY.D

Information about “1982919916” NPI (PHILLIP T LOWE PSY.D) exists in 1982919916 in HTML format HTML  |  1982919916 in plain Text format TXT  |  1982919916 in PDF (Portable Document Format) PDF  |  1982919916 in an XML format XML  formats.

NPI Number : 1982919916 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982919916",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LOWE",
    "FirstName": "PHILLIP",
    "MiddleName": "T",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PSY.D",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LOWE",
    "OtherFirstName": "PHIL",
    "OtherMiddleName": "T",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "PSY.D",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "2893 QUEENS WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "THOUSAND OAKS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91362-5347",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "805-413-2151",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "155 N OCCIDENTAL BLVD # 243",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90026-4641",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "213-382-4400",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/14/2010",
    "LastUpdateDate": "01/11/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103T00000X",
        "TaxonomyName": "Psychologist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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