Provider Demographics
NPI:1083628010
Name:DOWNS, DARRELL LEE (PHD)
Entity type:Individual
Prefix:DR
First Name:DARRELL
Middle Name:LEE
Last Name:DOWNS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5720 SW 64TH PL
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-2053
Mailing Address - Country:US
Mailing Address - Phone:305-663-0704
Mailing Address - Fax:305-663-7191
Practice Address - Street 1:5825 SUNSET DR STE 205
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5222
Practice Address - Country:US
Practice Address - Phone:305-663-0704
Practice Address - Fax:305-663-7191
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0004300103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical