Provider Demographics
NPI:1295724169
Name:DOWLING, JAMES ERNEST (PHD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ERNEST
Last Name:DOWLING
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 N CANYON ST
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:NM
Mailing Address - Zip Code:88220-5816
Mailing Address - Country:US
Mailing Address - Phone:505-887-5169
Mailing Address - Fax:505-887-2685
Practice Address - Street 1:608 N CANYON ST
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:NM
Practice Address - Zip Code:88220-5816
Practice Address - Country:US
Practice Address - Phone:505-887-5169
Practice Address - Fax:505-887-2685
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM572103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMA4539Medicaid
NMA4539Medicaid