Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 6301013756 | MI |
N | 103T00000X | Psychologist | 6301013756 | MI |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 6301013756 | MI |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 6301013756 | MI |
Y | 103G00000X | Clinical Psychologist | 6301013756 | MI |
Y | 103TC0700X | Clinical Psychologist | 6301013756 | MI |
N | 103TH0004X | Health Psychologist | 6301013756 | MI |
N | 103TP2701X | Group Psychotherapist | 6301013756 | MI |
NPI | 1376726604 |
---|---|
Provider Name | Dr. Margaret Alice Lowe |
First Address | Muskegon, MI 49441-1921 |
Second Address | Muskegon, MI 49441-1921 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/12/2007 |
Last Update Date | 29/01/2008 |