Provider Demographics
NPI:1831294370
Name:DOWNEY, DANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:DANN
Middle Name:
Last Name:DOWNEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 BROAD ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30161
Mailing Address - Country:US
Mailing Address - Phone:706-295-2498
Mailing Address - Fax:706-295-2267
Practice Address - Street 1:215 BROAD ST
Practice Address - Street 2:SUITE 201
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30161
Practice Address - Country:US
Practice Address - Phone:706-295-2498
Practice Address - Fax:706-295-2267
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00808926EMedicaid
68BBGFBMedicare ID - Type Unspecified
S53673Medicare UPIN