Provider Demographics
NPI:1295964922
Name:UHLIG, DOUGLAS JOHN (PHD)
Entity type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:JOHN
Last Name:UHLIG
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 1:66-67 108TH STREET
Mailing Address - Street 2:APT D27
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375
Mailing Address - Country:US
Mailing Address - Phone:917-617-6731
Mailing Address - Fax:
Practice Address - Street 1:6344 SAUNDERS ST STE 106
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-2001
Practice Address - Country:US
Practice Address - Phone:917-617-6731
Practice Address - Fax:718-275-1646
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-01
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP71881103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist