DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SELINA DOUGLASS

Active Sole Proprietor

MRS. SELINA DOUGLASS is a Adult Development & Aging Psychologist healthcare provider located in SOUTHFIELD, Michigan. NPI 1124533344 is currently active in the NPPES registry. Verify at CMS.

Adult Development & Aging Psychologist · SOUTHFIELD, MI

Registration Details

NPI Number
1124533344
Provider Type
Individual
Gender
Female
NPI Issued
Dec 11, 2017 (8.7014493065008 yrs)
Last Updated
Dec 11, 2017
Sole Proprietor
Yes

Practice Information

Address
16999 MORRISON ST
SOUTHFIELD, MI, 480762016
Browse MI providers · Browse ZIP 48076
Phone
2488750996
Primary Specialty
Adult Development & Aging Psychologist
103TA0700X
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.