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NPI Code Detail

MEDICARE: JENNIFER L LOWERY M.S., CCC-SLP

MEDICARE: JENNIFER L LOWERY M.S., CCC-SLP
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
1235Z00000XSpeech-Language PathologistSP#2753AR

General Provider Information

NPI Number : 1982859732
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER L LOWERY M.S., CCC-SLP
Provider Business Mailing Address
First Line : 133 ONEIDA WAY
Second Line :
City : MAUMELLE
State : AR
Zip : 72113-5873
Country : US
Telephone Number : 870-918-1098
Fax Number :
Provider Business Practice Location Address
First Line : 1900 ALDERSGATE RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72205-6620
Country : US
Telephone Number : 501-821-5459
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2008
Last Update Date : 06/13/2016

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