Provider Demographics
NPI:1013306109
Name:LOWE, TARA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:TARA
Middle Name:
Last Name:LOWE
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 1:1400 SOLVAY AISLE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-0828
Mailing Address - Country:US
Mailing Address - Phone:949-637-2281
Mailing Address - Fax:
Practice Address - Street 1:1400 SOLVAY AISLE
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92606-0828
Practice Address - Country:US
Practice Address - Phone:949-637-2281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-13
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA82184106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist