Individual
COURTNEY DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1708 W ROGERS AVE, BALTIMORE, MD 21209-4545
(410) 578-8600
Mailing address
1708 W ROGERS AVE, BALTIMORE, MD 21209-4545
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
07160
MD
103T00000X
Psychologist
P.08961
OH
103TC2200X
Clinical Child & Adolescent Psychologist
P.08961
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0187943
—
OH
Enumeration date
06/03/2024
Last updated
06/09/2026
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