Provider Demographics
NPI:1417024514
Name:LOWE PSYCHOLOGICAL ASSOCIATES, INC
Entity Type:Organization
Organization Name:LOWE PSYCHOLOGICAL ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:401-738-6865
Mailing Address - Street 1:615 JEFFERSON BLVD
Mailing Address - Street 2:SUITE B105
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-1357
Mailing Address - Country:US
Mailing Address - Phone:401-738-6865
Mailing Address - Fax:401-738-1621
Practice Address - Street 1:615 JEFFERSON BLVD
Practice Address - Street 2:SUITE B105
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-1357
Practice Address - Country:US
Practice Address - Phone:401-738-6865
Practice Address - Fax:401-738-1621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS194103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI3498-4OtherBLUE CROSS PROVIDER #
RI406783OtherBLUE CHIP PROVIDER #
RIPS 194OtherPSYCHOLOGY LICENSE NUMBER