Prof Robert Edward Douglas Ii, LMFT LPC is a
Counselor - Professional based in Fairview, New Jersey. Prof Robert Edward Douglas Ii is licensed to practice in New Jersey (license number 37PC01157100) and his current practice location is
115 Franklin Ave, Fairview, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(901) 628-1843.
NPI number for Prof Robert Edward Douglas Ii is 1831084193 and his current mailing address is 115 Franklin Ave, Fairview, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831084193.
Healthcare Provider's Profile
Full Name | Prof Robert Edward Douglas Ii |
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Gender | Male |
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Speciality | Counselor - Professional |
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Location | 115 Franklin Ave, Fairview, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831084193
- Provider Enumeration Date: 06/09/2025
- Last Update Date: 06/24/2025
Medical Identifiers
Medical identifiers for Prof Robert Edward Douglas Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831084193 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 37FI00243000 (New Jersey) | Secondary |
101YP2500X | Counselor - Professional | 37PC01157100 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Prof Robert Edward Douglas Ii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Prof Robert Edward Douglas Ii, LMFT LPC 115 Franklin Ave, Fairview, NJ 07022-1009 Ph: (901) 628-1843 | Prof Robert Edward Douglas Ii, LMFT LPC 115 Franklin Ave, Fairview, NJ 07022-1009 Ph: (901) 628-1843 |
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