Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 1891876 | IL |
NPI | 1083125470 |
---|---|
Provider Name | Timothy E Dowling |
First Address | Lake Zurich, IL 60047-1553 |
Second Address | Lake Zurich, IL 60047-1553 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2017 |
Last Update Date | 28/01/2019 |