Provider Demographics
NPI:1275623126
Name:TROOK, DOUGLAS (PHD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:
Last Name:TROOK
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1154 SETZER RD
Mailing Address - Street 2:
Mailing Address - City:STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18360-8820
Mailing Address - Country:US
Mailing Address - Phone:570-688-9123
Mailing Address - Fax:
Practice Address - Street 1:408 SCOTRUN AVE
Practice Address - Street 2:POCONO PSYCHOLOGICAL SERVICES
Practice Address - City:SCOTRUN
Practice Address - State:PA
Practice Address - Zip Code:18355
Practice Address - Country:US
Practice Address - Phone:570-688-2929
Practice Address - Fax:570-688-0022
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS007818L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist