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Individual

DOUGLAS RAY CHEATHAM

Active
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Individual

DOUGLAS RAY CHEATHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
22513
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
098373602
TX
01
126296
TEXAS NORTHSTAR, VALUE OP
TX
01
7365201
BLUELIKK
TX
01
751993021
MAGELLAN
TX
01
751993921
INTEGRATED MENTAL HEALTH SERVICES
TX
01
81960P
BCBSTX
TX
Enumeration date
02/02/2007
Last updated
03/23/2010
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