MEDICARE: LINDA M. LOWER MFT

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	106H00000X	Marriage & Family Therapist	MFC 24530	CA

General Provider Information

NPI Number	:	1861412694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA M. LOWER MFT

Provider Business Mailing Address
First Line	:	1000 PASEO CAMARILLO
Second Line	:	SUITE 130
City	:	CAMARILLO
State	:	CA
Zip	:	93010-6021
Country	:	US
Telephone Number	:	805-484-3214
Fax Number	:	805-484-1058

Provider Business Practice Location Address
First Line	:	1000 PASEO CAMARILLO
Second Line	:	SUITE 130
City	:	CAMARILLO
State	:	CA
Zip	:	93010-6021
Country	:	US
Telephone Number	:	805-484-3214
Fax Number	:	805-484-1058

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

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	07/08/2007

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