Individual
DR. PURAN DOUGLASS
Active
Individual
DR. PURAN DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
0810004653
VA
103TC0700X
Clinical Psychologist
Primary
0810004653
VA
Other
Enumeration date
10/04/2012
Last updated
01/02/2024
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