Provider Demographics
NPI:1619140274
Name:DOUCE, LOUISE A (PHD)
Entity Type:Individual
Prefix:DR
First Name:LOUISE
Middle Name:A
Last Name:DOUCE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4707 BLUE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:SUNBURY
Mailing Address - State:OH
Mailing Address - Zip Code:43074-9519
Mailing Address - Country:US
Mailing Address - Phone:614-786-1950
Mailing Address - Fax:614-247-8010
Practice Address - Street 1:500 W WILSON BRIDGE RD
Practice Address - Street 2:SUITE 90
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2238
Practice Address - Country:US
Practice Address - Phone:614-785-1950
Practice Address - Fax:614-688-3440
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-03
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHP-2759103TC1900X
OH2759103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1619140274Medicare NSC