Provider Demographics
NPI:1235534710
Name:LOWE, SUSANNAH CAMBRIA (LMFT)
Entity Type:Individual
Prefix:MS
First Name:SUSANNAH
Middle Name:CAMBRIA
Last Name:LOWE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1055 MINNESOTA AVE
Mailing Address - Street 2:SUITE 11
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-2451
Mailing Address - Country:US
Mailing Address - Phone:408-824-4114
Mailing Address - Fax:
Practice Address - Street 1:1055 MINNESOTA AVE
Practice Address - Street 2:SUITE 11
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-2451
Practice Address - Country:US
Practice Address - Phone:408-824-4114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-27
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40880106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist