Douglass, Terry Elizabeth

Douglass, Terry Elizabeth is an sole proprietor health care provider with primary practice located at 6863 Eagle Harbor Dr Ne , Bainbridge Island WA 98110-3103. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Douglass, Terry Elizabeth can be contacted via phone (260) 660-6199.

Contact Information

Primary practice address
6863 Eagle Harbor Dr Ne Bainbridge Island WA 98110-3103
Phone: (260) 660-6199
Fax: (206) 238-9777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X AP30000194 Washington
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X AP30000194 Washington

Profile Details

NPI number 1295728244
LBN Legal business name Douglass, Terry Elizabeth
Credentials ARNP, PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2005
Last updated Nov 14th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295728244 NPPES
Washington MEDICAID 9605122

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