Provider Demographics
NPI:1346455383
Name:THORPE, DOUGLAS M (PHD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:M
Last Name:THORPE
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:PO BOX QQ
Mailing Address - Street 2:
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-0700
Mailing Address - Country:US
Mailing Address - Phone:703-903-9696
Mailing Address - Fax:703-821-2505
Practice Address - Street 1:1716 CHAIN BRIDGE RD
Practice Address - Street 2:
Practice Address - City:MCLEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-0700
Practice Address - Country:US
Practice Address - Phone:703-903-9696
Practice Address - Fax:703-821-2505
Is Sole Proprietor?:No
Enumeration Date:2007-05-12
Last Update Date:2007-07-24
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2007-07-24
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral