MS. LATICE RENEE DOWDELL


Address: 43828 Medea Dr, Clinton Township, MI 48036-1299
Phone: 3138085379

MS. LATICE RENEE DOWDELL (NPI# 1881230282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881230282
Entity Type Individual
Full Name MS. LATICE RENEE DOWDELL
Practice Address 43828 Medea Dr
Clinton Township
MI 48036-1299
Mailing Address 24864 Greenbrier Ave
Eastpointe
MI 48021-1473
Practice Telephone 3138085379
Mailing Telephone 3134456440
Enumeration Date 2019-11-20
Last Update Date 2019-11-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TH0100X Psychologist
Specialization: Health Service
Behavioral Health & Social Service Providers

Office Location

Street Address 43828 MEDEA DR
City CLINTON TOWNSHIP
State MI
Zip Code 48036-1299

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NPI Name Taxonomy Address Enumeration
1043728918 Joseph John Memminger IIi Pathology 23885 Denton St Ste B, Clinton Township, MI 48036 2018-01-13
1124563267 Melinda Fiends Social Worker 42950 Stepnitz, Clinton Township, MI 48036 2016-12-28
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1639573033 Mycare Health Center Clinic/Center 43740 Groesbeck, Clinton Township, MI 48036 2014-10-14
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1649413436 Robert B Hengehold Pharmacist 37165 Groesbeck Hwy., Clinton Twp., MI 48036 2009-04-09
1548408461 Rodolfo Sia Yapchai Internal Medicine 37900 Saddle Lane, Clinton Twp, MI 48036 2009-01-30
1811135775 Anthony Frank Balcerzak Rehabilitation Counselor 38516 N Gratiot Avenue, Clinton Twp, MI 48036 2009-01-30
1508034661 Laurie J Church Counselor 22800 Hall Rd Ste 240, Clinton Township, MI 48036 2008-02-12
1912128182 Phyllis Ann Billings-mcneil Social Worker 38251 Groesbeck Highway, Clinton Twp, MI 48036 2007-05-02
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Taxonomy Information

Taxonomy Code 103TH0100X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Health Service

Taxonomy Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770062572 Letisha Erica Smith Psychologist 120 N Washington Sq Ste 307, Lansing, MI 48933-1617 2018-08-13
1174019467 Christie Ladonna Chandler Psychologist 8401 Kennedy Cir Unit 3, Warren, MI 48093-2223 2018-07-10
1225546120 Tavia Turner Psychologist 18758 Florence St, Roseville, MI 48066-4816 2018-01-14
1316490758 Rosa Maria Thomas Psychologist 873 Jordan Ln, Milford, MI 48381-1476 2016-08-02
1851756738 Jerren Weekes-kanu Psychologist 41086 Williamsburg Blvd, Canton, MI 48187-3878 2015-12-21
1376924142 Lois Jean Webster Psychologist 15908 Mansfield St, Detroit, MI 48227-1959 2015-06-17
1962538058 Charlene Crickon Kushler Psychologist 1751 Brookshire Ct, Williamston, MI 48895-9372 2007-02-26
1780757559 Barbara Hofmann Psychologist 650 E Big Beaver Rd Ste A, Troy, MI 48083-1432 2006-11-17
1346333937 Stanley L. Eden Psychologist 514 Juniper Dr., Davison, MI 48423 2006-10-02
1447350202 Tracy Renea Juliao Psychologist 31700 W 12 Mile Rd, Suite 250, Farmington Hills, MI 48334-4424 2006-09-22
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Competitor

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City CLINTON TOWNSHIP
Zip Code 48036

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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