Individual
DR. DOUGLAS JOHN ARCHIE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(803) 567-1206
Mailing address
5707 N 22ND ST, TAMPA, FL 33610-4350
(813) 239-8069
(813) 272-3766
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
05/01/2013
Last updated
10/19/2021
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