Provider Demographics
NPI:1356659155
Name:KLIER, DOUGLAS RYAN (MA)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:RYAN
Last Name:KLIER
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:44 FRONT ST STE 490
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608-1742
Mailing Address - Country:US
Mailing Address - Phone:508-799-2934
Mailing Address - Fax:508-770-1974
Practice Address - Street 1:44 FRONT ST STE 490
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1742
Practice Address - Country:US
Practice Address - Phone:508-799-2934
Practice Address - Fax:508-770-1974
Is Sole Proprietor?:No
Enumeration Date:2010-09-15
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)