Individual
MRS. DANIELLE ELIZABETH DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
301 W I 240 SERVICE RD, OKLAHOMA CITY, OK 73139-7701
(405) 604-9644
Mailing address
301 W I 240 SERVICE RD, OKLAHOMA CITY, OK 73139-7701
(405) 604-9644
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
—
—
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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