Doctor Name: | DR. SUE A DOWD |
NPI Number: | 1417944539 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 1138 |
Business Practice Address: | 303 N Kansas Ave Suite A104 Liberal, KS - 679013339 |
Business Phone Number: | 6206242900 |
Business Fax Number: | 6206244050 |
Mailing Address: | Po Box 370, JOHNSON |
State: | KS |
Postal Code: | 678550370 |
Phone Number: | 6204924250 |
Fax Number: | |
NPI Enumeration Date: | 10/04/2005 |
NPI Last Update Date: | 06/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1138 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |