Individual
SANDRA K DOUVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDS
Contact information
Practice address
9290 E GOLF LINKS RD, TUCSON, AZ 85730-1305
(520) 428-3010
Mailing address
13697 E SHADOW PINES LN, VAIL, AZ 85641-6406
(509) 230-4285
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
6368456
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209507801
SEIU CARE PROVIDER
WA
Enumeration date
10/26/2021
Last updated
10/26/2021
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