Healthcare Provider Details

I. General information

NPI: 1215806393
Provider Name (Legal Business Name): SYDNEY DOWDY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2025
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 N MAIN ST
RUTLAND VT
05701-2412
US

IV. Provider business mailing address

231 N MAIN ST
RUTLAND VT
05701-2412
US

V. Phone/Fax

Practice location:
  • Phone: 802-772-7992
  • Fax:
Mailing address:
  • Phone: 802-772-7992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number097.0135943
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: