Provider Demographics
NPI:1407972631
Name:LOWERY, PEGGY RUTH (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:PEGGY
Middle Name:RUTH
Last Name:LOWERY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 W ALABAMA AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:ALBERTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35950-1642
Mailing Address - Country:US
Mailing Address - Phone:256-878-3809
Mailing Address - Fax:256-878-8022
Practice Address - Street 1:104 W ALABAMA AVE
Practice Address - Street 2:SUITE E
Practice Address - City:ALBERTVILLE
Practice Address - State:AL
Practice Address - Zip Code:35950-1642
Practice Address - Country:US
Practice Address - Phone:256-878-3809
Practice Address - Fax:256-878-8022
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1327C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical