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Individual

DOUGLAS E DEGOOD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
70 MEDICAL CENTER DR, SUITE 305, FISHERSVILLE, VA 22939-2332
(540) 932-5747
(540) 932-5748
Mailing address
70 MEDICAL CENTER DR, SUITE 305, FISHERSVILLE, VA 22939-2332
(540) 932-5747
(540) 932-5748

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810001041
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
085256
SENTARA
VA
01
1046261
CIGNA BEHAVIORAL HEALTH
VA
01
1068499
FIRST HEALTH
VA
01
170228
SOUTHERN HEALTH
VA
01
25032
CIGNA
VA
01
284615
ANTHEM
VA
01
7711018
VA PREMIER
VA
Enumeration date
02/14/2006
Last updated
07/08/2007
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