Provider Demographics
NPI:1447807318
Name:LOWE, ZACHARY T (MS, CF-SLP)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:T
Last Name:LOWE
Suffix:
Gender:M
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 E THOMSON DR
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-6245
Mailing Address - Country:US
Mailing Address - Phone:508-996-5080
Mailing Address - Fax:
Practice Address - Street 1:203 E THOMSON DR
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-6245
Practice Address - Country:US
Practice Address - Phone:508-996-5080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-24
Last Update Date:2019-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01899L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist