Individual
DR. DOUGLAS MICHAEL BUYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LLC
Contact information
Practice address
1438 W 38TH ST, ERIE, PA 16508-2324
(814) 315-4054
(814) 281-3061
Mailing address
1438 W 38TH ST, ERIE, PA 16508-2324
(814) 315-4054
(814) 455-5656
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS006323L
PA
103TH0100X
Health Service Psychologist
PS-006323-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01486280
—
PA
01
—
1891790358
MEDICARE-NPI
PA
Enumeration date
06/20/2005
Last updated
11/27/2018
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