Individual
DEVON ELIZABETH DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6520 POE AVE, SUITE 200, DAYTON, OH 45414
(937) 276-3356
(937) 276-9514
Mailing address
6520 POE AVE, SUITE 200, DAYTON, OH 45414
(937) 276-3356
(937) 276-9514
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P.08167
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/07/2018
Last updated
07/13/2021
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