Individual
MR. DOUGLAS JAMES WOLTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
9 RICE LN, HILTON HEAD ISLAND, SC 29928-5908
(843) 671-5814
Mailing address
9 RICE LN, HILTON HEAD ISLAND, SC 29928-5908
(843) 671-5814
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301000568
MI
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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