Provider Demographics
NPI:1053413302
Name:DOWNIE, PAULA
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:DOWNIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3753 ROSS CLARK CIRCLE
Mailing Address - Street 2:STE. 4
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36303
Mailing Address - Country:US
Mailing Address - Phone:334-678-1933
Mailing Address - Fax:334-678-0977
Practice Address - Street 1:3753 ROSS CLARK CIRCLE
Practice Address - Street 2:STE. 4
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303
Practice Address - Country:US
Practice Address - Phone:334-678-1933
Practice Address - Fax:334-678-0977
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1880G104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker