Individual
MISS VIRGINIA LOWERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1215 HIGH ST, BOWLING GREEN, KY 42101-2541
(270) 782-1116
Mailing address
1215 HIGH ST, BOWLING GREEN, KY 42101-2541
(270) 782-1116
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0848
KY
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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