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Individual

MATTHEW C LOWRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPP

Contact information

Practice address
120 SEARS AVE STE 202, ST MATTHEWS, KY 40207-5072
(502) 265-6790
Mailing address
108 OLYMPIA DR, BARDSTOWN, KY 40004-2111
(502) 286-0556

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
168059
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100408230
KY
Enumeration date
12/02/2008
Last updated
04/16/2019
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