Douglas Scambler, PH.D

NPI 1871652248 · on the registry since 2006 · sole proprietor

Practice

Address: 507 S 4th St
Suite A
Laramie, WY 82070
Phone: (307) 460-0120
Fax: (307) 742-4089
Organisation at this address: Kelly Petrino, Psyd
Emily Siegel, Lcsw Pc
Gay Deitrich-Maclean Pc
Soma Spirit Therapeutics Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Also registered as: 103TC0700X
103TC2200X
103TM1800X
103TC2200X
103TB0200X
103TM1800X
103TP2701X
Licence states on file: OK, WY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-09-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming