MEDICARE: DR. RICHARD MICHAEL LOWE PH.D.

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	103TC0700X	Clinical Psychologist	PS004355L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679598635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD MICHAEL LOWE PH.D.

Provider Business Mailing Address
First Line	:	1009 QUILL LN
Second Line	:
City	:	ORELAND
State	:	PA
Zip	:	19075-2519
Country	:	US
Telephone Number	:	215-233-1997
Fax Number	:	215-968-8742

Provider Business Practice Location Address
First Line	:	1 PRESIDENTIAL BLVD
Second Line	:	SUITE 204
City	:	BALA CYNWYD
State	:	PA
Zip	:	19004-1017
Country	:	US
Telephone Number	:	215-233-1997
Fax Number	:	215-968-8742

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

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	01/21/2010

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