Provider Demographics
NPI:1841973864
Name:DOWD, COLE
Entity type:Individual
Prefix:
First Name:COLE
Middle Name:
Last Name:DOWD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 GREENLAWN DR APT 1501
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29209-2693
Mailing Address - Country:US
Mailing Address - Phone:843-754-9710
Mailing Address - Fax:
Practice Address - Street 1:700 GREENLAWN DR APT 1501
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29209-2693
Practice Address - Country:US
Practice Address - Phone:843-754-9710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst