Donna J Lowry, MA LPC
Individual provider Active NPI Psychologist · So Woodstock, CT
NPI 1013089150 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013089150
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 000212 (CT)
- Practice address
- 10 Beeches Lane
So Woodstock, CT 06267 - Phone
- (860) 928-9789
- Fax
- (860) 963-0866
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000212 | CT | MD | Audiologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 000212 | CT | Yes |
Addresses
Primary practice location
10 Beeches Lane
So Woodstock, CT 06267
Mailing address
PO Box 6
So Woodstock, CT 06267-0006
Phone (860) 928-9789
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400976 | Other | MAGELLAN | |
| 300686 | Other | MHN | |
| 240000212CT01 | Other | ANTHEM BCBS |
Other names
- Donna L Pelletier
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.