Individual provider · Type 1 NPI

Judith Sandra Douglas, PhD

Psychologist · San Bernardino, CA

NPI number 1679752406 Active

Practice location

1800 Medical Center Drive, Suite 300
San Bernardino, CA 92411

Call (909) 887-6222 Map

Fax (909) 887-4565

Mailing address

11083 Twilight Way
Moreno Valley, CA 92555-6594

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPSY17053 (CA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1679752406

Judith Sandra Douglas, PhD's National Provider Identifier is 1679752406, issued on Oct 29, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in San Bernardino, CA. The record was last updated on Oct 29, 2007.