Provider Demographics
NPI:1861837957
Name:MCARTHUR-DOUDOU, DANYA MICHELLE
Entity Type:Individual
Prefix:MRS
First Name:DANYA
Middle Name:MICHELLE
Last Name:MCARTHUR-DOUDOU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:667 ELETSON DR
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-7490
Mailing Address - Country:US
Mailing Address - Phone:815-814-6863
Mailing Address - Fax:
Practice Address - Street 1:667 ELETSON DR
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-7490
Practice Address - Country:US
Practice Address - Phone:815-814-6863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-03
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL362480845103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst