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Douglas Stephen Southern, PHD
Psychologist in Roswell, New Mexico
NPI 1043407190

Douglas Stephen Southern is a Psychologist based in Roswell, NM. Douglas Stephen Southern practices in Roswell, NM and has the professional credentials of PHD. The NPI Number for Douglas Stephen Southern is 1043407190 and holds a License No. 0128981 (New Mexico).

The current practice location address for Douglas Stephen Southern is 104 E Linda Vista Blvd Ste B, Roswell, NM and can be reached out via phone at 575-624-8889. You can also correspond with Douglas Stephen Southern through the mailing address at PO BOX 3391, ROSWELL, NM - 88202-3391 (mailing address contact number: 575-624-8889).

Location: 104 E Linda Vista Blvd Ste B, Roswell, NM, 88202-3391
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043407190
Provider Name
Douglas Stephen Southern
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
104 E Linda Vista Blvd Ste B, Roswell, NM, 88202-3391
Phone Number
575-624-8889
Fax Number
Provider Enumeration Date
10/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10180087 05 NM
institution
Provider Business Practice Location Address Details
Address
104 E Linda Vista Blvd Ste B
City
Roswell
State
New Mexico
Zip
88201-6667
Phone Number
575-624-8889
Fax Number
person
Provider Business Mailing Address Details
Address
104 E Linda Vista Blvd Ste B
City
Roswell
State
New Mexico
Zip
88201-6667
Phone Number
575-624-8889
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
1353 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
0128981 (New Mexico)
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 procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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