Organization
SUE DOWD PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUE A DOWD PHD (OWNER)
(620) 424-4554
Entity
Organization
Contact information
Practice address
303 N KANSAS AVE, SUITE A104, LIBERAL, KS 67901-3339
(620) 624-2900
(620) 624-4050
Mailing address
303 NORTH KANSAS, SUITE A104, LIBERAL, KS 67901
(620) 624-2900
(620) 624-4050
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1138
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111150
BLUE CROSS BLUE SHIELD
KS
05
—
200362670A
—
KS
Enumeration date
04/23/2007
Last updated
06/16/2008
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