Provider Demographics
NPI:1700276367
Name:LOWELL R. ROUTLEY, PH.D. P.C.
Entity Type:Organization
Organization Name:LOWELL R. ROUTLEY, PH.D. P.C.
Other - Org Name:TRC COUNSELING ASSOCIATES PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LOWELL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROUTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LMHC
Authorized Official - Phone:563-588-4476
Mailing Address - Street 1:988 W 3RD ST
Mailing Address - Street 2:SUITE 108
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-6666
Mailing Address - Country:US
Mailing Address - Phone:563-588-4476
Mailing Address - Fax:563-588-3884
Practice Address - Street 1:988 W 3RD ST
Practice Address - Street 2:SUITE 108
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-6666
Practice Address - Country:US
Practice Address - Phone:563-588-4476
Practice Address - Fax:563-588-3884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-03
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty