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Nicole Douglas, PSYD
Clinical Psychologist in Somerville, Massachusetts
NPI 1336695303

Nicole Douglas is a Clinical Psychologist based in Somerville, MA and is specialized in Clinical. Nicole Douglas practices in Somerville, MA and has the professional credentials of PSYD. The NPI Number for Nicole Douglas is 1336695303 and holds a License No. (Massachusetts).

The current practice location address for Nicole Douglas is 40 Holland St, Somerville, MA and can be reached out via phone at 617-629-6180 and via fax at 617-629-6041. You can also correspond with Nicole Douglas through the mailing address at 40 HOLLAND ST, SOMERVILLE, MA - 02144-2705 (mailing address contact number: 176-629-6180).

Location: 40 Holland St, Somerville, MA, 02144-2705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336695303
Provider Name
Nicole Douglas
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
40 Holland St, Somerville, MA, 02144-2705
Phone Number
617-629-6180
Fax Number
617-629-6041
Provider Enumeration Date
08/30/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
40 Holland St
City
Somerville
State
Massachusetts
Zip
02144-2705
Phone Number
617-629-6180
Fax Number
617-629-6041
person
Provider Business Mailing Address Details
Address
40 Holland St
City
Somerville
State
Massachusetts
Zip
02144-2705
Phone Number
617-629-6180
Fax Number
617-629-6041
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
11116 (Massachusetts)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
()
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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