Organization · Type 2 NPI

Nicole Douglas Psychology and Wellness, PLLC

Clinical Psychologist · Carbondale, IL

NPI number 1245181379 Active

Practice location

3412 S Illinois Ave
Carbondale, IL 62903-8362

Call (618) 506-0107 Map

Fax (618) 457-8844

Mailing address

202 Excalibur Dr
Carterville, IL 62918-3602

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XNone listed

Clinical Psychologist: 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 discip…

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About NPI 1245181379

Nicole Douglas Psychology and Wellness, PLLC's National Provider Identifier is 1245181379, issued on Feb 5, 2026. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Carbondale, IL. The record was last updated on Feb 5, 2026.