| Kirsten Lowry Psychologist Inc | |
|
1985 Johnson Ave San Luis Obispo CA 93401-4131 | |
| (805) 602-1062 | |
| Not Available |
| Full Name | Kirsten Lowry Psychologist Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1985 Johnson Ave, San Luis Obispo, California |
| Authorized Official Name and Position | Kirsten Lowry (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8056021062 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirsten Lowry Psychologist Inc Po Box 4524 Paso Robles CA 93447-4524 Ph: (805) 602-1062 | Kirsten Lowry Psychologist Inc 1985 Johnson Ave San Luis Obispo CA 93401-4131 Ph: (805) 602-1062 |
| NPI Number | 1669898367 |
|---|---|
| Provider Enumeration Date | 03/05/2014 |
| Last Update Date | 03/05/2014 |
| Medicare PECOS PAC ID | 4284854290 |
|---|---|
| Medicare Enrollment ID | O20140925000469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669898367 | NPI | - | NPPES |
| ER077A | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | PSY23890 (California) | Primary |
| Provider Name | Kirsten A Lowry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104123777 PECOS PAC ID: 7810170156 Enrollment ID: I20110331000101 |
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