Doctor Name: | DAVID W DOUCETTE |
NPI Number: | 1134565724 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 16905-130 |
Business Practice Address: | 611 W National Ave 4th Floor Milwaukee, WI - 532041714 |
Business Phone Number: | 4148314500 |
Business Fax Number: | 4142553451 |
Mailing Address: | 600 W Virginia St, Suite 203 MILWAUKEE |
State: | WI |
Postal Code: | 532041500 |
Phone Number: | 4148314500 |
Fax Number: | 4142553451 |
NPI Enumeration Date: | 05/22/2013 |
NPI Last Update Date: | 06/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 16905-130 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |