Provider Demographics
NPI:1497066500
Name:O'DOWD, JOHN J
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:J
Last Name:O'DOWD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 SCOTT ST APT 2
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-3233
Mailing Address - Country:US
Mailing Address - Phone:415-716-1056
Mailing Address - Fax:415-437-6730
Practice Address - Street 1:890 HAYES ST.
Practice Address - Street 2:WALDEN HOUSE
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117
Practice Address - Country:US
Practice Address - Phone:415-554-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist