Douglass, Richard

Douglass, Richard is an sole proprietor health care provider with primary practice located at 5200 Willson Rd Ste 150 , Edina MN 55424-1300. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Douglass, Richard can be contacted via phone (612) 433-3065.

Contact Information

Primary practice address
5200 Willson Rd Ste 150 Edina MN 55424-1300
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X LP6656 Minnesota

Profile Details

NPI number 1598341083
LBN Legal business name Douglass, Richard
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2021
Last updated Mar 23rd, 2021 - about 3 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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