Bruce G Douglass PHD PC
NPI #1659513208 in Traverse City, Michigan
Provider Information
- NPI Number
- 1659513208
- Entity Type
- Organization
- Organization Name
- Bruce G Douglass PHD PC
- Primary Specialty
- Psychologist - Family
- Enumeration Date
- Mar 28, 2009
- Last Updated
- Feb 27, 2021
Practice Location
- Address
- 5088 VILLAGE LANE CT
- City
- Traverse City
- State
- Michigan
- ZIP Code
- 49685-6924
- Phone
- (231) 342-5877
Authorized Official
- Name
- DR. BRUCE G DOUGLASS, PHD
- Title
- MANAGER
- Phone
- (231) 342-5877
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Family — Family |
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