Organization
BRAINSTORM LEARNING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODI LOWTHER (CO-OWNER)
(817) 501-7363
Entity
Organization
Contact information
Practice address
1208 W MAGNOLIA AVE, SUITE 234, FORT WORTH, TX 76104-4472
(817) 501-7363
Mailing address
1208 W MAGNOLIA AVE, SUITE 234, FORT WORTH, TX 76104-4472
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
15507
TX
103T00000X
Psychologist
36708
TX
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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