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Individual

DR. DOUGLAS J HART

Active
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Individual

DR. DOUGLAS J HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
P0000001092
TN
103TB0200X
Cognitive & Behavioral Psychologist
P0000001092
TN
103TC0700X
Clinical Psychologist
Primary
P0000001092
TN
103TC2200X
Clinical Child & Adolescent Psychologist
P0000001092
TN
103TF0000X
Family Psychologist
P0000001092
TN
103TM1800X
Intellectual & Developmental Disabilities Psychologist
P0000001092
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0044740
TN BLUE CROSS BLUE SHIELD
TN
01
59964
CIGNA
TN
Enumeration date
08/01/2005
Last updated
02/04/2008
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