DR. Richard Marvin Douglass, PSYCHOLOGIST

NPI #1710262225 in Pleasant Valley, New York

Provider Information

NPI Number: 1710262225
Entity Type: Individual
Name: DR. Richard Marvin Douglass, PSYCHOLOGIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PSYCHOLOGIST
Enumeration Date: Oct 15, 2011
Last Updated: Oct 15, 2011

Practice Location

Address: 1421 ROUTE 44
City: Pleasant Valley
State: New York
ZIP Code: 12569-7832
Phone: (845) 723-4373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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