Latice Renee Dowdell

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

Practice address

43828 Medea Dr
Clinton Township, MI 48036-1299

Phone

(313) 808-5379

NPI assigned

Nov 20, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1881230282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24864 GREENBRIER AVE",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480211473",
            "telephone_number": "313-445-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43828 MEDEA DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361299",
            "telephone_number": "313-808-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWDELL",
        "first_name": "LATICE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "3134456440",
            "affiliation": "N",
            "address_1": "24864 Greenbrier Ave",
            "city": "Eastpointe",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480211473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Health Service Psychologist in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Health Service Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.