Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1346455383 |
---|---|
Provider Name | Dr. Douglas M Thorpe |
First Address | Mclean, VA 22101-0700 |
Second Address | Mclean, VA 22101-0700 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2007 |
Last Update Date | 24/07/2007 |