MEDICARE: DR. MARIA C. RODRIGUEZ-DOWLING PSY.D.

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	103G00000X	Clinical Neuropsychologist	PY6594	FL
2	103T00000X	Psychologist	PY6594	FL
3	103TF0200X	Forensic Psychologist	PY6594	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	74346	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1770644809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA C. RODRIGUEZ-DOWLING PSY.D.

Provider Business Mailing Address
First Line	:	PO BOX 278155
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-8155
Country	:	US
Telephone Number	:	954-432-2100
Fax Number	:	954-441-0534

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	:	954-441-0534

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

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	02/26/2008

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