OrganizationActive
Bruce G Douglass PHD PC
NPI 1659513208 · Family Psychologist · Traverse City, MI
Provider details
- NPI number
- 1659513208
- Entity type
- Organization
- Primary specialty
- Family PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Bruce Douglass, Manager(231) 342-5877
- License
- 6301003193 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
5088 Village Lane Ct
Traverse City, MI 49685-6924
Phone: (231) 342-5877
Fax: (231) 943-2108
Approximate (ZIP-level) locationGet directions
Mailing address
5088 Village Lane Ct
Traverse City, MI 49685-6924
Registry dates
- Enumerated
- 2009-03-28
- Last updated
- 2021-02-27
- Certified
- 2021-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.