Provider Demographics
NPI:1174264964
Name:LOWE, SARA CATHERINE (NONE)
Entity type:Individual
Prefix:MS
First Name:SARA
Middle Name:CATHERINE
Last Name:LOWE
Suffix:
Gender:F
Credentials:NONE
Other - Prefix:MS
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:LOWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NO
Mailing Address - Street 1:2015 E. 46TH AVENUE
Mailing Address - Street 2:SUITE 680
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239
Mailing Address - Country:US
Mailing Address - Phone:303-945-7063
Mailing Address - Fax:855-568-2494
Practice Address - Street 1:2015 E. 46TH AVENUE
Practice Address - Street 2:SUITE 680
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80239
Practice Address - Country:US
Practice Address - Phone:303-945-7063
Practice Address - Fax:855-568-2494
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician