Provider Demographics
NPI:1063544625
Name:LOWE, JOAN A (LMFT)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:A
Last Name:LOWE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1156 S BRONSON AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90019-3235
Mailing Address - Country:US
Mailing Address - Phone:323-737-0262
Mailing Address - Fax:323-737-0262
Practice Address - Street 1:1156 S BRONSON AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90019-3235
Practice Address - Country:US
Practice Address - Phone:323-737-0262
Practice Address - Fax:323-737-0262
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 27334106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist