Individual
DR. DOUGLAS G MCKOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1126 W. FOOTHILL BLVD. SUITE 110, UPLAND, CA 91786-3786
(909) 985-0513
(909) 985-7193
Mailing address
1126 W. FOOTHILL BLVD. SUITE 110, UPLAND, CA 91786-3786
(909) 985-0513
(909) 985-7193
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY1988
CA
103TC0700X
Clinical Psychologist
Primary
PSY19880
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
366620
MANAGED HEALTH NETWORK #
CA
Enumeration date
09/19/2006
Last updated
02/03/2020
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