Healthcare Provider Details

I. General information

NPI: 1295724169
Provider Name (Legal Business Name): JAMES E DOWLING PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2005
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 PASEO DE DERAITA
SANTA FE NM
87505
US

IV. Provider business mailing address

3143 LA PAZ LANE
SANTA FE NM
87507
US

V. Phone/Fax

Practice location:
  • Phone: 505-316-6865
  • Fax: 505-887-2685
Mailing address:
  • Phone: 505-316-6865
  • Fax: 505-887-2685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberNM572
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number572
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: