Lowell, Jessie Rose

Lowell, Jessie Rose is an sole proprietor health care provider with primary practice located at 1270 N San Dimas Canyon Rd , San Dimas CA 91773-1223. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Lowell, Jessie Rose can be contacted via phone (909) 519-8732.

Contact Information

Primary practice address
1270 N San Dimas Canyon Rd San Dimas CA 91773-1223
Phone: (909) 519-8732
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY23333 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY23333 California

Profile Details

NPI number 1114041423
LBN Legal business name Lowell, Jessie Rose
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Apr 22nd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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