Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | IL | |
Y | 103T00000X | Psychologist | IL |
NPI | 1013946896 |
---|---|
Provider Name | Sheila Dowd |
First Address | Arlington Heights, IL 60005-1069 |
Second Address | Addison, IL 60101-1870 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2006 |
Last Update Date | 29/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P83080 | (02) |