Basic Information
Provider Information
NPI: 1902281421
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DOWDEY
FirstName: AMY
MiddleName: GENEVIEVE
NamePrefix: MS.
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 845347
Address2:  
City: DALLAS
State: TX
PostalCode: 752845347
CountryCode: US
TelephoneNumber: 2146450624
FaxNumber: 2146450078
Practice Location
Address1: 6363 HARRY HINES BLVD 7TH STE 749
Address2:  
City: DALLAS
State: TX
PostalCode: 75390
CountryCode: US
TelephoneNumber: 2146458500
FaxNumber: 2146483775
Other Information
ProviderEnumerationDate: 07/27/2015
LastUpdateDate: 05/08/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X40845TXY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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