Organization
DOUGLAS R CHEATHAM
Active
Other names
Ellis County Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS RAY CHEATHAM PH.D. (OWNER)
(214) 207-5664
Entity
Organization
Contact information
Practice address
1626 W HIGHWAY 287 BUSINESS, SUITE #104, WAXAHACHIE, TX 75165-4712
(888) 935-0027
Mailing address
PO BOX 190408, DALLAS, TX 75219-0408
(214) 207-5664
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
11300
TX
103TC0700X
Clinical Psychologist
Primary
22513
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081432901
—
TX
05
—
095323401
—
TX
05
—
098373601
—
TX
Enumeration date
10/05/2007
Last updated
06/13/2008
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