Provider Demographics
NPI:1881816536
Name:LOWMAN, DOROTHEA A
Entity Type:Individual
Prefix:MS
First Name:DOROTHEA
Middle Name:A
Last Name:LOWMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4215 SPRING ST
Mailing Address - Street 2:SUITE 325
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-7965
Mailing Address - Country:US
Mailing Address - Phone:619-462-2277
Mailing Address - Fax:619-462-2465
Practice Address - Street 1:4215 SPRING ST
Practice Address - Street 2:SUITE 325
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-7965
Practice Address - Country:US
Practice Address - Phone:619-462-2277
Practice Address - Fax:619-462-2465
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48322106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist