Nicolette Lowe, LPP | |
767 Main St, West Liberty, KY 41472-1019 | |
(866) 233-1955 | |
Not Available |
Full Name | Nicolette Lowe |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 767 Main St, West Liberty, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407169493 | NPI | - | NPPES |
000000684661 | Other | ANTHEM BCBS | |
30610026 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 2010-106 TEMP (Kentucky) | Secondary |
103TC0700X | Psychologist - Clinical | 245094 (Kentucky) | Primary |
Entity Name | Pathways Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982615043 PECOS PAC ID: 1254239171 Enrollment ID: O20031230000043 |
Mailing Address | Practice Location Address |
---|---|
Nicolette Lowe, LPP Po Box 790, Ashland, KY 41105-0790 Ph: (606) 329-8588 | Nicolette Lowe, LPP 767 Main St, West Liberty, KY 41472-1019 Ph: (866) 233-1955 |
Ms. Mary Lou Cantrell, M.A., LPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 849 Highway 191, Ml Cantrell Psychotherapeutic Services Pllc, West Liberty, KY 41472 Phone: 606-743-2407 | |
Corey Ruffing, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 757 North Main Street, West Liberty, KY 41472 Phone: 606-743-3129 Fax: 606-743-2720 |