Provider Demographics
NPI:1942329537
Name:LOWENTHAL, ELEANOR (LMFT)
Entity Type:Individual
Prefix:
First Name:ELEANOR
Middle Name:
Last Name:LOWENTHAL
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:PO BOX 592
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03755-0592
Mailing Address - Country:US
Mailing Address - Phone:802-333-0340
Mailing Address - Fax:
Practice Address - Street 1:45 LYME RD
Practice Address - Street 2:SUITE 210-A
Practice Address - City:HANOVER
Practice Address - State:NH
Practice Address - Zip Code:03755-1219
Practice Address - Country:US
Practice Address - Phone:802-333-0340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH131106H00000X
VT100.0059782106H00000X
CA47091106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
9892OtherCBHS INTERNAL USE ONLY-COMMERCIAL NUMBER
9892OtherSFGH INTERNAL USE ONLY