Individual
DR. DOUGLAS OWEN CACIALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
13777 AIR EXPRESSWAY BLVD, VICTORVILLE, CA 92394-0510
(760) 530-5000
Mailing address
PO BOX 5400, ADELANTO, CA 92301-5400
(760) 530-5000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 25356
CA
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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