Provider Demographics
NPI:1639139611
Name:MCDOWELL, D. N. (MSW/PSYD)
Entity Type:Individual
Prefix:
First Name:D. N.
Middle Name:
Last Name:MCDOWELL
Suffix:
Gender:M
Credentials:MSW/PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:USA MEDDAC
Mailing Address - Street 2:2240 E. WINROW AVE ATTN: MCXJ- MH ATTN: MCDOWELL
Mailing Address - City:FT. HUACHUCA
Mailing Address - State:AZ
Mailing Address - Zip Code:85613-7079
Mailing Address - Country:US
Mailing Address - Phone:520-533-1696
Mailing Address - Fax:520-533-7079
Practice Address - Street 1:2657 PLAYER DR
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85650
Practice Address - Country:US
Practice Address - Phone:520-378-1239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW 07021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical