Mcdougal, Jacqueline D.
Mcdougal, Jacqueline D. is an sole proprietor health care provider with primary practice located at 2516 Tower Hill Ln , Rochester Hills MI 48306-3060. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mcdougal, Jacqueline D. can be contacted via phone (248) 652-6044.Contact Information
Primary practice address
2516 Tower Hill Ln
Rochester Hills MI 48306-3060
Phone: (248) 652-6044
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301008138 | Michigan |
Profile Details
| NPI number | 1376660696 |
|---|---|
| LBN Legal business name | Mcdougal, Jacqueline D. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1376660696 | NPPES |
| Michigan | Other | 6301008138 | BOARD -PSYCHOLOGY LICENSE |
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