Hart, Douglas J
Hart, Douglas J is an individual health care provider with primary practice located at 3950 Central Ave , Memphis TN 38111-7602. He recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Hart, Douglas J can be contacted via phone (901) 458-6291.Contact Information
Primary practice address
3950 Central Ave
Memphis TN 38111-7602
Phone: (901) 458-6291
Fax: (901) 323-4848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | P0000001092 | Tennessee |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | P0000001092 | Tennessee |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | P0000001092 | Tennessee |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | P0000001092 | Tennessee |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | P0000001092 | Tennessee |
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | P0000001092 | Tennessee |
Profile Details
| NPI number | 1790785723 |
|---|---|
| LBN Legal business name | Hart, Douglas J |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2005 |
| Last updated | Feb 4th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790785723 | NPPES |
| Tennessee | Other | 0044740 | TN BLUE CROSS BLUE SHIELD |
| Tennessee | Other | 59964 | TN BLUE CROSS BLUE SHIELD |
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