Provider Demographics
NPI:1407164544
Name:LOEWY, JOANNE VICTORIA (DA, LCAT,MT-BC)
Entity Type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:VICTORIA
Last Name:LOEWY
Suffix:
Gender:F
Credentials:DA, LCAT,MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 UNION SQ E
Mailing Address - Street 2:SUITE 2060
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3314
Mailing Address - Country:US
Mailing Address - Phone:212-420-3484
Mailing Address - Fax:212-420-2726
Practice Address - Street 1:10 UNION SQ E
Practice Address - Street 2:SUITE 2060
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3314
Practice Address - Country:US
Practice Address - Phone:212-420-3484
Practice Address - Fax:212-420-2726
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000621101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor