Provider Demographics
NPI:1245539352
Name:SENTERFITT-LOWE, MANDI RAE (MS, CCC/SLP)
Entity type:Individual
Prefix:
First Name:MANDI
Middle Name:RAE
Last Name:SENTERFITT-LOWE
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 E 22ND ST
Mailing Address - Street 2:
Mailing Address - City:CISCO
Mailing Address - State:TX
Mailing Address - Zip Code:76437-5118
Mailing Address - Country:US
Mailing Address - Phone:254-433-0076
Mailing Address - Fax:254-734-3394
Practice Address - Street 1:501 ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:GORMAN
Practice Address - State:TX
Practice Address - Zip Code:76454
Practice Address - Country:US
Practice Address - Phone:254-734-2020
Practice Address - Fax:254-734-3394
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-15
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24737235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist