Organization
DOUGLAS PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRYL LEE DOUGLAS PSYD (CEO)
(810) 664-8060
Entity
Organization
Contact information
Practice address
624 W NEPESSING ST, SUITE L2, LAPEER, MI 48446-2090
(810) 664-8060
(810) 245-8352
Mailing address
624 W NEPESSING ST, SUITE L2, LAPEER, MI 48446-2090
(810) 664-8060
(810) 245-8352
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301013956
MI
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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