Provider Demographics
NPI:1962537381
Name:LOWE, JULIA (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:
Last Name:LOWE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5612 WHEELWRIGHT AVE NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-3361
Mailing Address - Country:US
Mailing Address - Phone:505-898-6455
Mailing Address - Fax:
Practice Address - Street 1:7001 CHAYOTE RD NE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87144-6211
Practice Address - Country:US
Practice Address - Phone:505-771-2366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2823235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM61989274Medicare ID - Type Unspecified