Provider Demographics
NPI:1255949590
Name:DOWNEY, BLAIR KATHRYN (AUD)
Entity type:Individual
Prefix:DR
First Name:BLAIR
Middle Name:KATHRYN
Last Name:DOWNEY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9202 S TOLEDO AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-2720
Mailing Address - Country:US
Mailing Address - Phone:918-493-3133
Mailing Address - Fax:918-493-2322
Practice Address - Street 1:9202 S TOLEDO AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-2720
Practice Address - Country:US
Practice Address - Phone:918-493-3133
Practice Address - Fax:918-493-2322
Is Sole Proprietor?:No
Enumeration Date:2020-07-22
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5335231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist