Provider Demographics
NPI:1205150331
Name:LOWE, JULIE ERIN (MA/CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:ERIN
Last Name:LOWE
Suffix:
Gender:F
Credentials:MA/CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28316 KANAWHA VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHSIDE
Mailing Address - State:WV
Mailing Address - Zip Code:25187-8684
Mailing Address - Country:US
Mailing Address - Phone:304-675-4540
Mailing Address - Fax:304-675-4540
Practice Address - Street 1:28316 KANAWHA VALLEY RD
Practice Address - Street 2:
Practice Address - City:SOUTHSIDE
Practice Address - State:WV
Practice Address - Zip Code:25187-8684
Practice Address - Country:US
Practice Address - Phone:304-675-4540
Practice Address - Fax:304-675-4540
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist