Provider Demographics
NPI:1770644809
Name:RODRIGUEZ-DOWLING, MARIA C (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:C
Last Name:RODRIGUEZ-DOWLING
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 278155
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-8155
Mailing Address - Country:US
Mailing Address - Phone:954-432-2100
Mailing Address - Fax:954-441-0534
Practice Address - Street 1:1851 NW 123RD AVE
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-3825
Practice Address - Country:US
Practice Address - Phone:954-432-2100
Practice Address - Fax:954-441-0534
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6594103G00000X, 103T00000X, 103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL7642423Medicaid
FL74346OtherBCBS