Provider Demographics
NPI:1033982046
Name:LOWELL, MEGGAN (MBA)
Entity Type:Individual
Prefix:MRS
First Name:MEGGAN
Middle Name:
Last Name:LOWELL
Suffix:
Gender:F
Credentials:MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 MANTON AVE
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02909-5633
Mailing Address - Country:US
Mailing Address - Phone:401-525-2380
Mailing Address - Fax:401-525-2382
Practice Address - Street 1:42 LEROY DR
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:RI
Practice Address - Zip Code:02915-1614
Practice Address - Country:US
Practice Address - Phone:401-742-6831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-01
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor