Judith Sandra Douglas PHD

NPI 1679752406 - Psychologist - 103T00000X

NPI Details
NPI 1679752406
Gender Female
Enumeration Date 10/29/2007
Last Updated 10/29/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1800 MEDICAL CENTER DRIVE
SUITE 300
SAN BERNARDINO CA, 92411, US
Phone (909) 887-6222
Fax (909) 887-4565
Business Location
11083 TWILIGHT WAY
MORENO VALLEY CA, 92555-6594, US
Phone (951) 242-8867
Fax (951) 242-8867
Toxanomy
Taxonomy Code 103T00000X
License State California
License Number PSY17053
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According to our database, Dr. Judith Sandra Douglas PHD NPI is 1679752406, taxonomy code is 103T00000X and license number is PSY17053, license state is located at California. Judith Sandra Douglas PHD physically located at 1800 Medical Center Drive, San Bernardino CA, 92411. NPI Number Judith Sandra Douglas PHD has the Individual type.

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1679752406 NPI number is provided on an as is basis without warranty of any kind. 1679752406 is maintained by the National Plan & Provider Enumeration System. The contents of Judith Sandra Douglas PHD are for informational purposes only.