Provider Demographics
NPI:1225188006
Name:MCDOWELL, BARBRA A (PHD,)
Entity type:Individual
Prefix:DR
First Name:BARBRA
Middle Name:A
Last Name:MCDOWELL
Suffix:
Gender:F
Credentials:PHD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29863 SANTA MARGARITA PKWY
Mailing Address - Street 2:SUITE 105
Mailing Address - City:RANCHO SANTA MARGARITA
Mailing Address - State:CA
Mailing Address - Zip Code:92688-3625
Mailing Address - Country:US
Mailing Address - Phone:949-713-3188
Mailing Address - Fax:949-713-3189
Practice Address - Street 1:29863 SANTA MARGARITA PKWY
Practice Address - Street 2:SUITE 105
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-3625
Practice Address - Country:US
Practice Address - Phone:949-713-3188
Practice Address - Fax:949-713-3189
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY15622103G00000X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist