Individual
DR. DOUGLAS WILLIAM BERMINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1309 W 14TH AVE, INDIANOLA, IA 50125-4798
(801) 671-2687
Mailing address
1309 W 14TH AVE, INDIANOLA, IA 50125-4798
(801) 671-2687
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
087230
IA
103TC1900X
Counseling Psychologist
PSYC.00013540
CO
Other
Enumeration date
06/02/2015
Last updated
02/07/2023
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