Provider Demographics
NPI:1962541045
Name:LOWE, FREDERICK V
Entity type:Individual
Prefix:
First Name:FREDERICK
Middle Name:V
Last Name:LOWE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:FREDERICK
Other - Middle Name:V
Other - Last Name:LOWE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1 HAWK ST.
Mailing Address - Street 2:
Mailing Address - City:FRENCHTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08825-1230
Mailing Address - Country:US
Mailing Address - Phone:908-996-6306
Mailing Address - Fax:
Practice Address - Street 1:1 HAWK ST.
Practice Address - Street 2:
Practice Address - City:FRENCHTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08825-1230
Practice Address - Country:US
Practice Address - Phone:908-996-6306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC008599001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical