Individual
DR. DARRYL L DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
624 W NEPESSING ST STE L2, LAPEER, MI 48446-2086
(810) 664-8060
(810) 245-8352
Mailing address
624 W NEPESSING ST STE L2, P.O. BOX 985, LAPEER, MI 48446-2086
(810) 664-8060
(810) 245-8352
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012309
MI
Other
Enumeration date
03/14/2008
Last updated
12/14/2010
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