Provider Demographics
NPI:1255833729
Name:LOWE, JANE
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:LOWE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:EVGENIYA
Other - Middle Name:
Other - Last Name:GOROKHOVSKAYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2309 BERKELEY AVE APT 2109
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-4366
Mailing Address - Country:US
Mailing Address - Phone:216-296-9432
Mailing Address - Fax:
Practice Address - Street 1:3520 EXECUTIVE CENTER DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-1642
Practice Address - Country:US
Practice Address - Phone:216-343-0222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-01
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist