Provider Demographics
NPI:1649275363
Name:DOWNS, RENEE (MCD, CCC-A)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:DOWNS
Suffix:
Gender:F
Credentials:MCD, CCC-A
Other - Prefix:
Other - First Name:CHARLENE
Other - Middle Name:RENEE
Other - Last Name:DOWNS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MCD, CCC-A
Mailing Address - Street 1:2522 ARCTIC BLVD
Mailing Address - Street 2:# 100
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-2551
Mailing Address - Country:US
Mailing Address - Phone:907-865-3277
Mailing Address - Fax:907-562-4554
Practice Address - Street 1:2522 ARCTIC BLVD
Practice Address - Street 2:# 100
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-2551
Practice Address - Country:US
Practice Address - Phone:907-865-3277
Practice Address - Fax:907-562-4554
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK102231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist