Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOUGLAS STEPHEN SOUTHERN, PHD
ActiveDOUGLAS STEPHEN SOUTHERN, PHD is a Psychologist healthcare provider located in ROSWELL, New Mexico. NPI 1043407190 is currently active in the NPPES registry. Verify at CMS.
Psychologist · ROSWELL, NM
Registration Details
- NPI Number
- 1043407190
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 2, 2007 (18.884652431253 yrs)
- Last Updated
- Apr 21, 2017
- Licenses
-
0128981 (NM)1353 (NM)
Practice Information
- Address
-
104 E LINDA VISTA BLVD STE BROSWELL, NM, 882016667Browse NM providers · Browse ZIP 88201
- Phone
- 5756248889
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
Other Psychologist Providers in ROSWELL, NM
| Name | Credential | NPI |
|---|---|---|
| DR. PAMELA W LINNELL | PHD | 1013938604 |
| DR. LYNN B DAUGHERTY | PH. D. | 1932259678 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.