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NPI Code Detail

MEDICARE: GENNIPHER LYNN-MARIE DOWLING-EMTER

MEDICARE:   GENNIPHER LYNN-MARIE DOWLING-EMTER
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
1106S00000XBehavior Technician
2225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1811232317
Entity Type Code : Individual
Provider Name (Legal Business Name) : GENNIPHER LYNN-MARIE DOWLING-EMTER
Provider Business Mailing Address
First Line : 7549 SUN PRAIRIE DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80925-9567
Country : US
Telephone Number : 702-379-0395
Fax Number :
Provider Business Practice Location Address
First Line : 421 WINDCHIME PL
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-1984
Country : US
Telephone Number : 888-754-0398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2012
Last Update Date : 04/15/2023

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Directions to “ GENNIPHER LYNN-MARIE DOWLING-EMTER ” Practice Location

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