Individual
JESSIE ROSE LOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1270 N SAN DIMAS CANYON RD, SAN DIMAS, CA 91773-1223
(909) 519-8732
Mailing address
1270 N SAN DIMAS CANYON RD, SAN DIMAS, CA 91773-1223
(909) 519-8732
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY23333
CA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY23333
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/19/2007
Last updated
04/22/2019
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