Individual
DOUGLAS DRUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
16615 LARK AVE, STE 203, LOS GATOS, CA 95032-7645
(408) 358-8792
(408) 358-8762
Mailing address
3803 S BASCOM AVE, STE 210, CAMPBELL, CA 95008-7317
(408) 377-3510
(408) 377-2941
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY14138
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OPL141380
—
CA
Enumeration date
10/10/2006
Last updated
12/22/2012
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