Individual
DR. STEVIE MAE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
7530 E ANGUS DR, SCOTTSDALE, AZ 85251-6410
(480) 947-5739
Mailing address
1927 E JACINTO AVE, MESA, AZ 85204-6830
(161) 596-8014
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103T00000X
—
AZ
Enumeration date
09/16/2021
Last updated
09/16/2021
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