# SUE DOWD PHD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093933350
- **Authorized official:** DR. SUE A DOWD PHD (OWNER)
- **Authorized official phone:** (620) 424-4554

## Contact information

- **Practice address:** 303 N KANSAS AVE, SUITE A104, LIBERAL, KS 67901-3339
- **Practice address phone:** (620) 624-2900
- **Practice address fax:** (620) 624-4050
- **Mailing address:** 303 NORTH KANSAS, SUITE A104, LIBERAL, KS 67901
- **Mailing address phone:** (620) 624-2900
- **Mailing address fax:** (620) 624-4050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 1138 | KS | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 06/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 111150 | BLUE CROSS BLUE SHIELD | KS |
| 05 | — | 200362670A | — | KS |