Provider Demographics
NPI:1083768105
Name:LOWINGER, RICHARD ELLIOTT (MA LPC)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:ELLIOTT
Last Name:LOWINGER
Suffix:
Gender:M
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1762 HOFFMAN DR STE H-1
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-4292
Mailing Address - Country:US
Mailing Address - Phone:970-689-6957
Mailing Address - Fax:970-797-1720
Practice Address - Street 1:1762 HOFFMAN DR STE H-1
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-4292
Practice Address - Country:US
Practice Address - Phone:970-689-6957
Practice Address - Fax:970-797-1720
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3195101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
1090632OtherANTHEM BEHAVIORAL HEALTH
515695OtherVALUE OPTIONS