Provider Demographics
NPI:1922244391
Name:LOW, KATHRYN G (PHD)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:G
Last Name:LOW
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:KAREN GIESEKE AND ASSOCIATES
Mailing Address - Street 2:9 COURT STREET
Mailing Address - City:BRISTOL
Mailing Address - State:RI
Mailing Address - Zip Code:02809
Mailing Address - Country:US
Mailing Address - Phone:401-842-0009
Mailing Address - Fax:401-842-0059
Practice Address - Street 1:9 COURT ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:RI
Practice Address - Zip Code:02809-2207
Practice Address - Country:US
Practice Address - Phone:401-842-0009
Practice Address - Fax:018-420-0594
Is Sole Proprietor?:No
Enumeration Date:2009-01-06
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPS794103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME279510099Medicaid
ME279510099Medicaid