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NPI Code Detail

MEDICARE: DR. JENNIFER LOWELL PHD

MEDICARE: DR. JENNIFER LOWELL PHD
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
1103T00000XPsychologistPSY 15547CA

General Provider Information

NPI Number : 1417204926
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER LOWELL PHD
Provider Business Mailing Address
First Line : 5028 GEARY BLVD
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94118-2814
Country : US
Telephone Number : 415-379-9940
Fax Number :
Provider Business Practice Location Address
First Line : 5028 GEARY BLVD
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94118-2814
Country : US
Telephone Number : 415-379-9940
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2012
Last Update Date : 08/14/2012

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