MEDICARE: D. N. MCDOWELL MSW/PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCSW 0702	AZ

General Provider Information

NPI Number	:	1639139611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	D. N. MCDOWELL MSW/PSYD

Provider Business Mailing Address
First Line	:	USA MEDDAC
Second Line	:	2240 E. WINROW AVE ATTN: MCXJ- MH ATTN: MCDOWELL
City	:	FT. HUACHUCA
State	:	AZ
Zip	:	85613-7079
Country	:	US
Telephone Number	:	520-533-1696
Fax Number	:	520-533-7079

Provider Business Practice Location Address
First Line	:	2657 PLAYER DR
Second Line	:
City	:	SIERRA VISTA
State	:	AZ
Zip	:	85650
Country	:	US
Telephone Number	:	520-378-1239
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	07/08/2007

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