Individual
DR. PURAN DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
8233 OLD COURTHOUSE RD STE 102, VIENNA, VA 22182-3816
(703) 924-2370
(703) 924-2374
Mailing address
8233 OLD COURTHOUSE RD STE 102, VIENNA, VA 22182-3816
(703) 924-2370
(703) 924-2374
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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