MEDICARE: DR. CYNTHIA M DOWDY PH.D., LPC

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	101YM0800X	Mental Health Counselor	3694	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	478028	OTHER	NC	VALUE OPTIONS
2	130UA	OTHER	NC	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841250560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CYNTHIA M DOWDY PH.D., LPC

Provider Business Mailing Address
First Line	:	4601 LAKE BOONE TRL
Second Line	:	SUITE 2C
City	:	RALEIGH
State	:	NC
Zip	:	27607-7503
Country	:	US
Telephone Number	:	919-866-1959
Fax Number	:	919-786-0604

Provider Business Practice Location Address
First Line	:	4601 LAKE BOONE TRL
Second Line	:	SUITE 2C
City	:	RALEIGH
State	:	NC
Zip	:	27607-7503
Country	:	US
Telephone Number	:	919-866-1959
Fax Number	:	919-786-0604

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

Provider Enumeration Date	:	03/25/2006
Last Update Date	:	03/04/2008

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