Provider Demographics
NPI:1912454398
Name:DOWNING, KIMBERLY (MA)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:DOWNING
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:
Other - Last Name:DOWNING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MASTERS DEGREE,
Mailing Address - Street 1:1001 SUNBEAM CT
Mailing Address - Street 2:
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-2242
Mailing Address - Country:US
Mailing Address - Phone:301-613-1038
Mailing Address - Fax:410-695-2998
Practice Address - Street 1:1001 SUNBEAM CT
Practice Address - Street 2:
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113-2242
Practice Address - Country:US
Practice Address - Phone:301-613-1038
Practice Address - Fax:410-695-2998
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-02
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling