| Doctor Name: | DEBORAH DOUGLAS |
| NPI Number: | 1134138654 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN - CERTIFIED |
| License Number: | 2006002694 |
| Business Practice Address: | 2 Springbrook Drive Biddeford, ME - 04005 |
| Business Phone Number: | 2072821500 |
| Business Fax Number: | 2072827509 |
| Mailing Address: | 63 State St, GORHAM |
| State: | ME |
| Postal Code: | 040381012 |
| Phone Number: | 2073241500 |
| Fax Number: | 2074905263 |
| NPI Enumeration Date: | 08/05/2006 |
| NPI Last Update Date: | 07/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 2006002694 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |