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Individual

DR. SUSAN RAE DOUGLAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
6544 MURRAY LN, THE DIAGNOSTIC CENTER AT CURREY INGRAM ACADEMY, BRENTWOOD, TN 37027-5515
(615) 507-3171
Mailing address
2532 BLAIR BLVD, NASHVILLE, TN 37212-4808
(615) 423-0183

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
7883
MA
103TC0700X
Clinical Psychologist
Primary
P0000003182
TN

Other

Enumeration date
04/27/2016
Last updated
04/27/2016
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