Organization · Type 2 NPI
Bruce G Douglass PHD PC
Family Psychologist · Traverse City, MI
NPI number
1659513208
Active
Practice location
5088 Village Lane Ct
Traverse City, MI 49685-6924
Fax (231) 943-2108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Psychologist Primary | 103TF0000X | 6301003193 (MI) |
Family Psychologist: 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.
About NPI 1659513208
Bruce G Douglass PHD PC's National Provider Identifier is 1659513208, issued on Mar 28, 2009. The primary taxonomy on file is Family Psychologist (103TF0000X), and the practice location is in Traverse City, MI. The record was last updated on Feb 27, 2021.