Provider Demographics
NPI:1598936957
Name:DOWNING, DOREEN RUTH (PHD)
Entity Type:Individual
Prefix:DR
First Name:DOREEN
Middle Name:RUTH
Last Name:DOWNING
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:DOREEN
Other - Middle Name:RUTH
Other - Last Name:HAMILTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1700 SOLANO AVE. SUITE F
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94707
Mailing Address - Country:US
Mailing Address - Phone:510-524-4055
Mailing Address - Fax:
Practice Address - Street 1:1700 SOLANO AVE. SUITE F
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94707
Practice Address - Country:US
Practice Address - Phone:510-524-4055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-13
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY12799103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical