Search › Ohio › 101YA0400X
Anthony Imagie-Douglas, LICDC
NPI 1578146635 · on the registry since 2021
Practice
- Address
- 1875 Stoneridge Dr
Circleville, OH 43113 - Phone
- (740) 500-1391
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio