MEDICARE: MS. KATHY ANN LOWENBERG LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	000313	IA

General Provider Information

NPI Number	:	1417046640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHY ANN LOWENBERG LMHC

Provider Business Mailing Address
First Line	:	2534 CATSKILL CT
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52245-5251
Country	:	US
Telephone Number	:	319-887-9848
Fax Number	:	319-887-9848

Provider Business Practice Location Address
First Line	:	2534 CATSKILL CT
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52245-5251
Country	:	US
Telephone Number	:	319-887-9848
Fax Number	:	319-887-9848

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	07/08/2007

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