Provider Demographics
NPI:1093017675
Name:LOWREY, KRISTIN (LCSW, PIP)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:LOWREY
Suffix:
Gender:F
Credentials:LCSW, PIP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 362084
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35236-2084
Mailing Address - Country:US
Mailing Address - Phone:205-945-0037
Mailing Address - Fax:205-945-0031
Practice Address - Street 1:2681 ROCKY RIDGE LN
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216-4809
Practice Address - Country:US
Practice Address - Phone:205-945-0037
Practice Address - Fax:205-945-0031
Is Sole Proprietor?:No
Enumeration Date:2010-12-02
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1842C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical