Provider Demographics
NPI:1982034344
Name:DOWTIN, HELEN (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:DOWTIN
Suffix:
Gender:F
Credentials:CCC-SLP
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 2
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-0002
Mailing Address - Country:US
Mailing Address - Phone:301-275-3228
Mailing Address - Fax:
Practice Address - Street 1:12802 CENTER PARK WAY
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-5196
Practice Address - Country:US
Practice Address - Phone:301-275-3228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-22
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05357235Z00000X
NC10658235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist