Douglas, Judith Sandra

Douglas, Judith Sandra is an sole proprietor health care provider with primary practice located at 1800 Medical Center Drive Suite 300, San Bernardino CA 92411. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Douglas, Judith Sandra can be contacted via phone (909) 887-6222.

Contact Information

Primary practice address
1800 Medical Center Drive Suite 300 San Bernardino CA 92411
Phone: (909) 887-6222
Fax: (909) 887-4565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY17053 California

Profile Details

NPI number 1679752406
LBN Legal business name Douglas, Judith Sandra
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2007
Last updated Oct 29th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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