Provider Demographics
NPI:1417046640
Name:LOWENBERG, KATHY ANN (LMHC)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:ANN
Last Name:LOWENBERG
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2534 CATSKILL CT
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-5251
Mailing Address - Country:US
Mailing Address - Phone:319-887-9848
Mailing Address - Fax:319-887-9848
Practice Address - Street 1:2534 CATSKILL CT
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-5251
Practice Address - Country:US
Practice Address - Phone:319-887-9848
Practice Address - Fax:319-887-9848
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA000313101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health