M Eliz Douglass in Tucson - Group Psychotherapy

M Eliz Douglass - NPI 1538231451

M Eliz Douglass is a Group Psychotherapy in Tucson, Arizona. M Eliz Douglass practices all healthcare services and medical treatments related to Group Psychotherapy. The NPI Number for M Eliz Douglass is 1538231451. The last update date is 2012-01-12.

M Eliz Douglass's current location address is 10985 N Poinsettia Dr, Tucson, Arizona. You can contact this provider via phone number 5204697977. The mailing address for M Eliz Douglass is 10985 N Poinsettia Dr, Tucson, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name M Eliz Douglass
Address 10985 N Poinsettia Dr, Tucson, Arizona
Phone Number 5204697977
Fax Number
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1538231451
Provider Enumeration Date 2006-11-15
Last Updated Date 2012-01-12

Provider Mailing Address Detail

Address 10985 N Poinsettia Dr
City Tucson
State Arizona (AZ)
Post Code 857376695
Phone Number 5204697977
Fax Number

Provider's Primary Taxonomy Detail

Speciality Group Psychotherapy
Taxonomy 103Tp2701X
Licence No 3349
Definition:
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intraperso

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
Z60681 AZ MEDICARE PART B

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FAQs about M Eliz Douglass

What is the unique 10-digit identification code issued to M Eliz Douglass by the Centers for Medicare & Medicaid Services?

The M Eliz Douglass has been assigned the NPI (National Provider Identifier) 1538231451 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where M Eliz Douglass is physically located?

The M Eliz Douglass is physically situated at the following address: 10985 N Poinsettia Dr, Tucson, AZ, 857376695.

What is M Eliz Douglass's specialized field of practice, and what is the corresponding taxonomy classification code?

The M Eliz Douglass's area of specialization is Group Psychotherapy, and the corresponding taxonomy code that categorizes this field of practice is 103Tp2701X.

On what date did the M Eliz Douglass receive the assignment of its 1538231451 from the Centers for Medicare & Medicaid Services?

The M Eliz Douglass was issued its 1538231451 by the Centers for Medicare & Medicaid Services on 2006-11-15.

When was the information regarding M Eliz Douglass most recently updated?

The details pertaining to the M Eliz Douglass, including its address, specialty, and other relevant information, were last refreshed on 2012-01-12.

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