Provider Demographics
NPI:1427194935
Name:ROUTLEY, LOWELL R (PHD LMHC)
Entity Type:Individual
Prefix:DR
First Name:LOWELL
Middle Name:R
Last Name:ROUTLEY
Suffix:
Gender:M
Credentials:PHD LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 ALPINE ST
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-7363
Mailing Address - Country:US
Mailing Address - Phone:563-582-3743
Mailing Address - Fax:
Practice Address - Street 1:988 W 3RD ST STE 108
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-6666
Practice Address - Country:US
Practice Address - Phone:563-588-4476
Practice Address - Fax:563-588-3884
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA#00009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health