Individual
DOUGLAS A FREW
Active
Individual
DOUGLAS A FREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
05970
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039188300
—
MD
05
—
052304600
—
MD
05
—
086453600
—
MD
05
—
225209100
—
MD
05
—
258013600
—
MD
05
—
693205300
—
MD
05
—
873305800
—
MD
Enumeration date
02/26/2018
Last updated
02/26/2018
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