Individual
DR. BRUCE WAYNE ELOWYN LOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4197 CORRIGAN DR, FREMONT, CA 94536-5904
(510) 797-1046
Mailing address
4197 CORRIGAN DRIVE, FREMONT, CA 94536-5904
(510) 797-1046
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 18481
CA
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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