Douglas Stephen Southern in Roswell - Psychologist
Douglas Stephen Southern - NPI 1043407190
Douglas Stephen Southern is a Psychologist in Roswell, New Mexico. Douglas Stephen Southern practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Douglas Stephen Southern is 1043407190. The last update date is 2017-04-21.
Douglas Stephen Southern's current location address is Po Box 3391, Roswell, New Mexico. You can contact this provider via phone number 5756248889. The mailing address for Douglas Stephen Southern is Po Box 3391, Roswell, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Stephen Southern |
|---|---|
| Address | Po Box 3391, Roswell, New Mexico |
| Phone Number | 5756248889 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1043407190 |
|---|---|
| Provider Enumeration Date | 2007-10-02 |
| Last Updated Date | 2017-04-21 |
Provider Mailing Address Detail
| Address | Po Box 3391 |
|---|---|
| City | Roswell |
| State | New Mexico (NM) |
| Post Code | 882023391 |
| Phone Number | 5756248889 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1353 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10180087 | NM | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Douglas Stephen Southern by the Centers for Medicare & Medicaid Services?
The Douglas Stephen Southern has been issued the NPI (National Provider Identifier) 1043407190. 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 address where Douglas Stephen Southern is physically located?
The Douglas Stephen Southern is situated at the following address: Po Box 3391, Roswell, NM 882023391.
What is the Douglas Stephen Southern's specialty and taxonomy code?
The Douglas Stephen Southern's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
When did Douglas Stephen Southern receive its 1043407190 assignment?
The Douglas Stephen Southern was assigned its 1043407190 on 2007-10-02, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Douglas Stephen Southern most recently updated or revised?
The details related to Douglas Stephen Southern, including its address, specialty, and other relevant information, were last updated or revised on 2017-04-21.
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