Katharine C Douglass in Traverse City - Clinical Child & Adolescent
Katharine C Douglass - NPI 1275607111
Katharine C Douglass is a Clinical Child & Adolescent in Traverse City, Michigan. Katharine C Douglass practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Katharine C Douglass is 1275607111. The last update date is 2007-07-08.
Katharine C Douglass's current location address is 107 E State St, Traverse City, Michigan. You can contact this provider via phone number 2319464419. The mailing address for Katharine C Douglass is 107 E State St, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katharine C Douglass |
|---|---|
| Address | 107 E State St, Traverse City, Michigan |
| Phone Number | 2319464419 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.S. |
NPI Number Detail
| NPI Number | 1275607111 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 107 E State St |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496842512 |
| Phone Number | 2319464419 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 6301005697 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Katharine C Douglass by the Centers for Medicare & Medicaid Services?
The Katharine C Douglass has been issued the NPI (National Provider Identifier) 1275607111 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Katharine C Douglass is geographically located?
The Katharine C Douglass is physically situated at the following location: 107 E State St, Traverse City, MI, 496842512.
What is Katharine C Douglass's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Katharine C Douglass is Clinical Child & Adolescent, and the taxonomy code that classifies this field of practice is 103Tc2200X.
On what date did the Katharine C Douglass receive the assignment of its 1275607111 from the Centers for Medicare & Medicaid Services?
The Katharine C Douglass was issued its 1275607111 by the Centers for Medicare & Medicaid Services on 2006-11-20.
As of what date were the details related to Katharine C Douglass most recently updated or revised?
The information pertaining to Katharine C Douglass, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.