Douglass, M Eliz

Douglass, M Eliz is an sole proprietor health care provider with primary practice located at 10985 N Poinsettia Dr , Oro Valley AZ 85737-6695. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Douglass, M Eliz can be contacted via phone (520) 469-7977.

Contact Information

Primary practice address
10985 N Poinsettia Dr Oro Valley AZ 85737-6695
Phone: (520) 469-7977
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3349 Arizona
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3349 Arizona
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 3349 Arizona

Profile Details

NPI number 1538231451
LBN Legal business name Douglass, M Eliz
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Jan 12th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538231451 NPPES
Arizona Other Z60681 MEDICARE PART B

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