IndividualActive
Katharine Douglass, M.S.
NPI 1275607111 · Clinical Child & Adolescent Psychologist · Traverse City, MI
Provider details
- NPI number
- 1275607111
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- M.S.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6301005697 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
107 E State St
Traverse City, MI 49684-2512
Phone: (231) 946-4419
Approximate (ZIP-level) locationGet directions
Mailing address
529 6th St
Traverse City, MI 49684-2417
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.