Douglas Stephen Southern, PHD

NPI #1043407190 in Roswell, New Mexico

Provider Information

NPI Number: 1043407190
Entity Type: Individual
Name: Douglas Stephen Southern, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Oct 2, 2007
Last Updated: Apr 21, 2017

Practice Location

Address: 104 E LINDA VISTA BLVD STE B
City: Roswell
State: New Mexico
ZIP Code: 88201-6667
Phone: (575) 624-8889

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Psychologist	103T00000X	Primary

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Organizations

Provider Name	Specialty	City
Southern Counseling and Psychological Services LLC	Psychologist	Roswell	AI Deep Dive

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