Sean Tyrone Douglas, PH.D., LCSW-R Valid NPI

Individual provider · Clinical Social Worker · Glen Cove, NY

NPI

1457370124

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

R056802 (NY)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-07-19

Last updated

2023-08-15