Individual
TERRY MCDOUGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDS
Contact information
Practice address
1376 BANNER CIR, ERIE, CO 80516-6951
(720) 563-1443
Mailing address
1376 BANNER CIR, ERIE, CO 80516-6951
(720) 563-1443
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
22025
WV
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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