MEDICARE: MARIA RODRIGUEZ-DOWLING

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor
3	103G00000X	Clinical Neuropsychologist
4	103T00000X	Psychologist
5	103TC2200X	Clinical Child & Adolescent Psychologist
6	103TF0000X	Family Psychologist
7	103TM1800X	Intellectual & Developmental Disabilities Psychologist
8	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1245439538
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARIA RODRIGUEZ-DOWLING

Provider Business Mailing Address
First Line	:	1851 NW 123RD AVE
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33026-3825
Country	:	US
Telephone Number	:	954-432-2100
Fax Number	:

Provider Business Practice Location Address
First Line	:	1851 NW 123RD AVE
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33026-3825
Country	:	US
Telephone Number	:	954-432-2100
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. MARIA C. RODRIGUEZ-DOWLING
Credential	:	PSY.D.
Telephone Number	:	954-432-2100

Provider Enumeration Date	:	07/16/2007
Last Update Date	:	02/26/2008

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