Healthcare Provider Details

I. General information

NPI: 1952690307
Provider Name (Legal Business Name): ANDREW DOWNS LITTLEFIELD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2011
Last Update Date: 04/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 KENDEMERE POINTE
ROSWELL GA
30075-7667
US

IV. Provider business mailing address

10431 BIG CANOE
BIG CANOE GA
30143-5125
US

V. Phone/Fax

Practice location:
  • Phone: 678-223-3987
  • Fax:
Mailing address:
  • Phone: 321-537-7733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: