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Individual

DR. DOUGLAS JOHN SCAMBLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
507 S 4TH ST, SUITE A, LARAMIE, WY 82070-3753
(307) 460-0120
(307) 742-4089
Mailing address
507 S 4TH ST, SUITE A, LARAMIE, WY 82070-3753
(307) 460-0120
(307) 742-4089

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
448
WY
103TC0700X
Clinical Psychologist
Primary
448
WY
103TC0700X
Clinical Psychologist
965
OK
103TC2200X
Clinical Child & Adolescent Psychologist
448
WY
103TC2200X
Clinical Child & Adolescent Psychologist
965
OK
103TM1800X
Intellectual & Developmental Disabilities Psychologist
448
WY
103TM1800X
Intellectual & Developmental Disabilities Psychologist
965
OK
103TP2701X
Group Psychotherapy Psychologist
448
WY

Other

Enumeration date
12/08/2006
Last updated
09/10/2007
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