Provider Demographics
NPI:1699829259
Name:LOWERY, RENEE ARMSTRONG (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:ARMSTRONG
Last Name:LOWERY
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1711 DEBRAH DR
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:MO
Mailing Address - Zip Code:64060-7611
Mailing Address - Country:US
Mailing Address - Phone:816-903-6995
Mailing Address - Fax:
Practice Address - Street 1:1711 DEBRAH DR
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:MO
Practice Address - Zip Code:64060-7611
Practice Address - Country:US
Practice Address - Phone:816-903-6995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002013038235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist