Provider Demographics
NPI:1508198631
Name:LOWE, BRENDA JEAN (AUD)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:JEAN
Last Name:LOWE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:BRENDA
Other - Middle Name:JEAN
Other - Last Name:BERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:13540 W CAMINO DEL SOL STE 20
Mailing Address - Street 2:
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-4472
Mailing Address - Country:US
Mailing Address - Phone:623-214-8085
Mailing Address - Fax:623-214-8202
Practice Address - Street 1:13540 W CAMINO DEL SOL STE 20
Practice Address - Street 2:
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-4472
Practice Address - Country:US
Practice Address - Phone:623-214-8085
Practice Address - Fax:623-214-8202
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-29
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA6837237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter