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

BRUCE G DOUGLASS PHD PC

Active Organization

BRUCE G DOUGLASS PHD PC is a Family Psychologist organization located in TRAVERSE CITY, Michigan. NPI 1659513208 is currently active in the NPPES registry. Verify at CMS.

Family Psychologist · TRAVERSE CITY, MI

Registration Details

NPI Number
1659513208
Provider Type
Organization
NPI Issued
Mar 28, 2009 (17.414477502852 yrs)
Last Updated
Feb 27, 2021
License
6301003193 (MI)

Practice Information

Address
5088 VILLAGE LANE CT
TRAVERSE CITY, MI, 496856924
Browse MI providers · Browse ZIP 49685
Phone
2313425877
Fax
2319432108
Primary Specialty
Family Psychologist
103TF0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.