MR. Sean Tyrone Douglas, PH.D., LCSW-R

NPI #1457370124 in Glen Cove, New York

Provider Information

NPI Number: 1457370124
Entity Type: Individual
Name: MR. Sean Tyrone Douglas, PH.D., LCSW-R
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: PH.D., LCSW-R
Enumeration Date: Jul 19, 2006
Last Updated: Aug 15, 2023

Practice Location

Address: 5 BREWSTER ST STE 143
City: Glen Cove
State: New York
ZIP Code: 11542-2549
Phone: (516) 825-8584

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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