Individual
DR. HEIDI DOUGLASS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1610 GAR HWY, SOMERSET, MA 02726-1210
(508) 672-0005
(206) 666-4822
Mailing address
PO BOX 253, NORTH DIGHTON, MA 02764-0253
(508) 672-0005
(206) 666-4822
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS00858
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29246-7
BLUE CROSS BLUE SHIELD RI
RI
Enumeration date
04/18/2006
Last updated
07/08/2007
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