Individual
DR. RICHARD MARVIN DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST
Contact information
Practice address
1421 ROUTE 44, PLEASANT VALLEY, NY 12569-7832
(845) 723-4373
(845) 635-5189
Mailing address
PO BOX 1614, PLEASANT VALLEY, NY 12569-1614
(845) 723-4373
(845) 635-5189
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8375
NY
Other
Enumeration date
10/15/2011
Last updated
10/15/2011
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