Individual
DOUGLAS STEPHEN SOUTHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
15951 LITTLE AXE DR, NORMAN, OK 73026-9088
(405) 447-0300
Mailing address
15951 LITTLE AXE DR, NORMAN, OK 73026-9088
(405) 447-0300
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0128981
NM
103T00000X
Psychologist
Primary
1353
NM
103T00000X
Psychologist
Primary
1445
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10180087
—
NM
Enumeration date
10/02/2007
Last updated
03/25/2026
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