Douglas, Nicole

Douglas, Nicole is an individual health care provider with primary practice located at 40 Holland St , Somerville MA 02144-2705. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Douglas, Nicole can be contacted via phone (617) 629-6180.

Contact Information

Primary practice address
40 Holland St Somerville MA 02144-2705
Phone: (617) 629-6180
Fax: (617) 629-6041
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 11116 Massachusetts

Profile Details

NPI number 1336695303
LBN Legal business name Douglas, Nicole
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2016
Last updated Aug 19th, 2019 - about 7 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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