Organization
BARBARA J MCDOUGALL, PSYD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARBARA JEANNE MCDOUGALL PSYD (PSYCHOLOGIST)
(904) 531-9752
Entity
Organization
Contact information
Practice address
623 OAK STREET, GREEN COVE SPRINGS, FL 32043
(904) 531-9752
(904) 531-5149
Mailing address
623 OAK ST, GREEN COVE SPRINGS, FL 32043-4313
(904) 531-9752
(904) 531-5149
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7136
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
828926000
—
FL
Enumeration date
11/06/2012
Last updated
11/06/2012
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