Provider Demographics
NPI:1255760542
Name:DOWD, SUZANNE
Entity type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:
Last Name:DOWD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4025 ST CLOUD DR
Mailing Address - Street 2:SUITE 230B
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-8960
Mailing Address - Country:US
Mailing Address - Phone:970-388-6110
Mailing Address - Fax:
Practice Address - Street 1:4025 ST CLOUD DR
Practice Address - Street 2:SUITE 230B
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-8960
Practice Address - Country:US
Practice Address - Phone:970-388-6110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-06
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health