Judith Sandra Douglas in Moreno Valley - Psychologist
Judith Sandra Douglas - NPI 1679752406
Judith Sandra Douglas is a Psychologist in Moreno Valley, California. Judith Sandra Douglas practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Judith Sandra Douglas is 1679752406. The last update date is 2007-10-29.
Judith Sandra Douglas's current location address is 11083 Twilight Way, Moreno Valley, California. You can contact this provider via phone number 9512428867 and fax number 9512428867. The mailing address for Judith Sandra Douglas is 11083 Twilight Way, Moreno Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Sandra Douglas |
|---|---|
| Address | 11083 Twilight Way, Moreno Valley, California |
| Phone Number | 9512428867 |
| Fax Number | 9512428867 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1679752406 |
|---|---|
| Provider Enumeration Date | 2007-10-29 |
| Last Updated Date | 2007-10-29 |
Provider Mailing Address Detail
| Address | 11083 Twilight Way |
|---|---|
| City | Moreno Valley |
| State | California (CA) |
| Post Code | 925556594 |
| Phone Number | 9512428867 |
| Fax Number | 9512428867 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY17053 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique identification code assigned to Judith Sandra Douglas by the Centers for Medicare & Medicaid Services?
The Judith Sandra Douglas has been issued the NPI (National Provider Identifier) 1679752406. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Judith Sandra Douglas is located?
The Judith Sandra Douglas is situated at the following address: 11083 Twilight Way, Moreno Valley, CA, 925556594.
What is the area of specialization for Judith Sandra Douglas, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Judith Sandra Douglas is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
When was the Judith Sandra Douglas's 1679752406 issued?
The Judith Sandra Douglas's 1679752406 was issued on 2007-10-29.
When was the information regarding Judith Sandra Douglas most recently updated?
The details pertaining to the Judith Sandra Douglas, including its address, specialty, and other relevant information, were last refreshed on 2007-10-29.