Individual
DR. DOUGLAS MOORHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
17224 VAN WAGONER RD, SPRING LAKE, MI 49456-9702
(616) 296-2130
Mailing address
2504 HATHAWAY CT, NORTON SHORES, MI 49441-4435
(231) 329-4597
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012346
MI
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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