Provider Demographics
NPI:1942610837
Name:LOWERY, MONICA SCHERRELL
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:SCHERRELL
Last Name:LOWERY
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:MONICA
Other - Middle Name:SCHERRELL
Other - Last Name:HICKD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7005 GAMBLE ST
Mailing Address - Street 2:
Mailing Address - City:TUCKERMAN
Mailing Address - State:AR
Mailing Address - Zip Code:72473-9237
Mailing Address - Country:US
Mailing Address - Phone:501-590-7724
Mailing Address - Fax:
Practice Address - Street 1:7005 GAMBLE ST
Practice Address - Street 2:
Practice Address - City:TUCKERMAN
Practice Address - State:AR
Practice Address - Zip Code:72473-9237
Practice Address - Country:US
Practice Address - Phone:501-590-7724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-01
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health