Douglas, Judith Sandra
Douglas, Judith Sandra is an sole proprietor health care provider with primary practice located at 1800 Medical Center Drive Suite 300, San Bernardino CA 92411. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Douglas, Judith Sandra can be contacted via phone (909) 887-6222.Contact Information
Primary practice address
1800 Medical Center Drive Suite 300
San Bernardino CA 92411
Phone: (909) 887-6222
Fax: (909) 887-4565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY17053 | California |
Profile Details
| NPI number | 1679752406 |
|---|---|
| LBN Legal business name | Douglas, Judith Sandra |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 29th, 2007 |
| Last updated | Oct 29th, 2007 - about 18 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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