Provider Demographics
NPI:1982289005
Name:DOW, BRENDA (PHD, MA, CDC1)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:
Last Name:DOW
Suffix:
Gender:F
Credentials:PHD, MA, CDC1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 FORTY MILE AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99701-3110
Mailing Address - Country:US
Mailing Address - Phone:907-456-6445
Mailing Address - Fax:
Practice Address - Street 1:209 FORTY MILE AVE
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-3110
Practice Address - Country:US
Practice Address - Phone:907-456-6445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-10
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health