Provider Demographics
NPI:1942539275
Name:DOWNING, VANESSA L (PHD)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:L
Last Name:DOWNING
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 1:106 FIVE FARMS CIR
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19311-1427
Mailing Address - Country:US
Mailing Address - Phone:484-667-6111
Mailing Address - Fax:
Practice Address - Street 1:106 FIVE FARMS CIR
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:PA
Practice Address - Zip Code:19311-1427
Practice Address - Country:US
Practice Address - Phone:484-667-6111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-16
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS019422103TC1900X
DEB1-0000836103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103T00000XBehavioral Health & Social Service ProvidersPsychologist