Provider Demographics
NPI:1144324799
Name:DOOLIN, ALICE COLLEEN (CASE MANAGER)
Entity type:Individual
Prefix:MS
First Name:ALICE
Middle Name:COLLEEN
Last Name:DOOLIN
Suffix:
Gender:F
Credentials:CASE MANAGER
Other - Prefix:
Other - First Name:A
Other - Middle Name:COLLEEN
Other - Last Name:DOOLIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:110 WALNUT
Mailing Address - Street 2:APT 6A
Mailing Address - City:CLAYTON
Mailing Address - State:NM
Mailing Address - Zip Code:88415
Mailing Address - Country:US
Mailing Address - Phone:405-397-9515
Mailing Address - Fax:
Practice Address - Street 1:110 WALNUT ST
Practice Address - Street 2:OFFICE B
Practice Address - City:CLAYTON
Practice Address - State:NM
Practice Address - Zip Code:88415
Practice Address - Country:US
Practice Address - Phone:505-374-2032
Practice Address - Fax:505-374-0158
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist