institution
Bruce G Douglass Phd Pc
Family Psychologist in Traverse City, Michigan
NPI 1659513208

Bruce G Douglass Phd Pc is a Family Psychologist based in Traverse City, MI and is specialized in Family. Bruce G Douglass Phd Pc practices in Traverse City, MI. The NPI Number for Bruce G Douglass Phd Pc is 1659513208 and holds a License No. 6301003193 (Michigan).

The current practice location address for Bruce G Douglass Phd Pc is 5088 Village Lane Ct, Traverse City, MI and can be reached out via phone at 231-342-5877 and via fax at 231-943-2108.

Location: 5088 Village Lane Ct, Traverse City, MI, 49685-6924
institution
Provider Profile Details
NPI Number
1659513208
Provider Name
Bruce G Douglass Phd Pc
Credential
Provider Entity Type
Organization
Address
5088 Village Lane Ct, Traverse City, MI, 49685-6924
Phone Number
231-342-5877
Fax Number
231-943-2108
Provider Enumeration Date
03/28/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
680B84509 01 MI BCBSM
institution
Provider Business Practice Location Address Details
Address
5088 Village Lane Ct
City
State
Zip
49685-6924
Phone Number
231-342-5877
Fax Number
231-943-2108
person
Provider Business Mailing Address Details
Address
5088 Village Lane Ct
City
State
Zip
49685-6924
Phone Number
231-342-5877
Fax Number
231-943-2108
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Family
Taxonomy
License No.
6301003193 (Michigan)
Definition
A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.
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