Individual
DR. DOUGLAS LON WILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
30 FLOWER LN, JERICHO, NY 11753-2312
(516) 931-0752
Mailing address
30 FLOWER LN, JERICHO, NY 11753-2312
(516) 931-0752
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6159
NY
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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