Dr. Douglas Brackmann
Psychologist
3101 4th Ave
San Diego
, California 92103-5802
Dr. Douglas Brackmann
Psychologist
3101 4th Ave
San Diego
, California 92103-5802
(619) 542-0332
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Dr. Douglas Brackmann
- 8536 Ridgefield Pl
- San Diego, CA
- Zip : 92129-3731
- Fax : (619) 542-0332
- Phone : (858) 735-1667
Second Address
- Dr. Douglas Brackmann
- 3101 4th Ave
- San Diego, CA
- Zip : 92103-5802
- Fax : (619) 542-0332
- Phone : (858) 735-1667
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | PSY19753 | CA |
| Y | 103T00000X | Psychologist | PSY19753 | CA |
National Provider Identifier
| NPI | 1003011495 |
|---|---|
| Provider Name | Dr. Douglas Brackmann |
| First Address | San Diego, CA 92129-3731 |
| Second Address | San Diego, CA 92103-5802 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/06/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.