Provider Demographics
NPI:1760539928
Name:LOWMAN, VICKI L (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:VICKI
Middle Name:L
Last Name:LOWMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:739 HATFIELD DR
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078-5390
Mailing Address - Country:US
Mailing Address - Phone:760-798-2444
Mailing Address - Fax:760-798-2444
Practice Address - Street 1:739 HATFIELD DR
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-5390
Practice Address - Country:US
Practice Address - Phone:760-798-2444
Practice Address - Fax:760-798-2444
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35384106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist