Provider Demographics
NPI:1982332086
Name:STARLIPER, DOUGLAS QUINN
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:QUINN
Last Name:STARLIPER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 WEBSTER ST APT B
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-6667
Mailing Address - Country:US
Mailing Address - Phone:910-495-4293
Mailing Address - Fax:
Practice Address - Street 1:66 E MAIN ST STE 103
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-2703
Practice Address - Country:US
Practice Address - Phone:240-800-1171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-08
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MD29065101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health