Provider Demographics
NPI:1841990546
Name:MCDOWELL, CATHERINE ANNE
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ANNE
Last Name:MCDOWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 GRAYSON ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-4425
Mailing Address - Country:US
Mailing Address - Phone:718-607-6807
Mailing Address - Fax:
Practice Address - Street 1:82 GRAYSON ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-4425
Practice Address - Country:US
Practice Address - Phone:718-607-6807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-09
Last Update Date:2023-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst