Provider Demographics
NPI:1609925296
Name:LOWRY, MARJORIE JEAN (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:MARJORIE
Middle Name:JEAN
Last Name:LOWRY
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:518 PLEASANT ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-3997
Mailing Address - Country:US
Mailing Address - Phone:413-582-7961
Mailing Address - Fax:413-582-7963
Practice Address - Street 1:518 PLEASANT ST
Practice Address - Street 2:SUITE 100
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3997
Practice Address - Country:US
Practice Address - Phone:413-582-7961
Practice Address - Fax:413-582-7963
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC 3582101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health