Provider Demographics
NPI:1801181045
Name:DAVID KLOW & ASSOCIATES
Entity Type:Organization
Organization Name:DAVID KLOW & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:I
Authorized Official - Last Name:KLOW
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:847-529-8300
Mailing Address - Street 1:2436 COWPER AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1846
Mailing Address - Country:US
Mailing Address - Phone:847-529-8300
Mailing Address - Fax:
Practice Address - Street 1:2436 COWPER AVE
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-1846
Practice Address - Country:US
Practice Address - Phone:847-529-8300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166000754106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty