Individual
DR. DOUGLAS DON STREICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
105 EAST JEFFERSON BLVD., SUITE 500, SOUTH BEND, IN 46601-1914
(574) 232-4453
(574) 232-7718
Mailing address
105 EAST JEFFERSON BLVD., SUITE 500, SOUTH BEND, IN 46601-1914
(574) 232-4453
(574) 232-7718
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
20040374
IN
103TC0700X
Clinical Psychologist
Primary
20040374A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200008780A
—
IN
Enumeration date
03/07/2006
Last updated
10/28/2010
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