Provider Demographics
NPI:1376038398
Name:LOWE, DANIELLE W (MD, PHD)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:W
Last Name:LOWE
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:W
Other - Last Name:CLARK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:101 MANNING DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-4226
Mailing Address - Country:US
Mailing Address - Phone:984-974-5217
Mailing Address - Fax:706-973-3653
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4220
Practice Address - Country:US
Practice Address - Phone:984-974-5217
Practice Address - Fax:706-973-3653
Is Sole Proprietor?:No
Enumeration Date:2018-06-22
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2021-016862084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry