Provider Demographics
NPI:1568061075
Name:LOWRY, CAITLIN SUZANNE (ALMFT)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:SUZANNE
Last Name:LOWRY
Suffix:
Gender:F
Credentials:ALMFT
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:SUZANNE
Other - Last Name:SICKLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ALMFT
Mailing Address - Street 1:6735 CONROY RD STE 410
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-3567
Mailing Address - Country:US
Mailing Address - Phone:949-212-6353
Mailing Address - Fax:
Practice Address - Street 1:6735 CONROY RD STE 410
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-3567
Practice Address - Country:US
Practice Address - Phone:949-212-6353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-26
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208.000870106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist