Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PS 194 | RI |
Y | 103T00000X | Psychologist | PS 194 | RI |
NPI | 1013084128 |
---|---|
Provider Name | Dr. Rosanne M Lowe |
First Address | Warwick, RI 02886-1357 |
Second Address | Warwick, RI 02886-1357 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3498-4 | BLUE CROSS PROVIDER # (01) | RI |
406783 | BLUE CHIP PROVIDER # (01) | RI |
PS 194 | PSYCHOLOGIST LICENSE # (01) | RI |