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Individual
KIRSTEN LOWRY
Active
Individual
KIRSTEN LOWRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY23890
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ER077A
MEDICARE PTAN
CA
Enumeration date
02/17/2011
Last updated
03/05/2014
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