Douglas Psychological Services LLC

NPI #1174882914 in Lapeer, Michigan

Provider Information

NPI Number: 1174882914
Entity Type: Organization
Organization Name: Douglas Psychological Services LLC
Primary Specialty: Psychologist - Clinical
Enumeration Date: May 14, 2012
Last Updated: May 14, 2012

Practice Location

Address: 624 W NEPESSING ST
Address 2: SUITE L2
City: Lapeer
State: Michigan
ZIP Code: 48446-2090
Phone: (810) 664-8060

Authorized Official

Name: DR. DARRYL LEE DOUGLAS, PSYD
Title: CEO
Phone: (810) 664-8060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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