Individual
BYRON C. DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2512 HARTE DR, BRIGHTON, MI 48114-7002
(248) 761-0998
Mailing address
8553 WINDSOR CT, YPSILANTI, MI 48198-3613
(313) 910-8473
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301006483
MI
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
6301006483
MI
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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