Provider Demographics
NPI:1154378396
Name:DOWNING, LORI J (PSYD)
Entity type:Individual
Prefix:DR
First Name:LORI
Middle Name:J
Last Name:DOWNING
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 WIND CHIME CT
Mailing Address - Street 2:STE 201
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-6573
Mailing Address - Country:US
Mailing Address - Phone:919-841-1971
Mailing Address - Fax:919-846-2018
Practice Address - Street 1:187 WIND CHIME CT
Practice Address - Street 2:SUITE 204
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6477
Practice Address - Country:US
Practice Address - Phone:919-227-6261
Practice Address - Fax:919-846-2018
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-30
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2880103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6000774Medicaid
NCN/AOtherTRICARE
NCN/AOtherCIGNA
NC046TAOtherBCBS
NCN/AOtherMENTAL HEALTH NET
NCN/AOtherCOMPSYCH