Individual
DR. DOUGLAS MARR SPECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
540 ROUTE 5 SOUTH, BRADFORD, VT 05033
(802) 222-9001
(802) 222-9242
Mailing address
PO BOX 88, BRADFORD, VT 05033
(802) 222-9001
(802) 222-9242
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
754
VT
103TC0700X
Clinical Psychologist
918
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007089
—
VT
05
—
30423048
—
NH
Enumeration date
03/28/2007
Last updated
07/08/2007
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