Douglas, Cory Tyrone

Douglas, Cory Tyrone is an individual health care provider with primary practice located at 759 Susquehanna Trl , Watsontown PA 17777-8109. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Douglas, Cory Tyrone can be contacted via phone (570) 538-1240.

Contact Information

Primary practice address
759 Susquehanna Trl Watsontown PA 17777-8109
Phone: (570) 538-1240
Fax: (570) 538-1257
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1952911695
LBN Legal business name Douglas, Cory Tyrone
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2020
Last updated Aug 7th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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