Organization
KIRSTEN LOWRY PSYCHOLOGIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRSTEN LOWRY PH.D. (LICENSED CLINICAL PSYCHOLOGIST)
(805) 602-1062
Entity
Organization
Contact information
Practice address
1985 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4131
(805) 602-1062
Mailing address
PO BOX 4524, PASO ROBLES, CA 93447-4524
(805) 602-1062
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
PSY23890
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ER077A
MEDICARE PTAN
—
Enumeration date
03/05/2014
Last updated
03/05/2014
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