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Organization
MICHAEL A. DOUGLAS, PHD
Active
Organization
MICHAEL A. DOUGLAS, PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DOUGLAS (PSYCHOLOGIST)
(310) 405-1948
Entity
Organization
Contact information
Practice address
11704 WILSHIRE BLVD STE 255, LOS ANGELES, CA 90025-1504
(310) 405-1948
(323) 934-1550
Mailing address
11704 WILSHIRE BLVD STE 255, LOS ANGELES, CA 90025-1504
(310) 405-1948
(323) 934-1550
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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