Mr. Robert Derrick Douglas, ST
Mr. Robert Derrick Douglas, ST is a Speech-Language Pathologist in Nacogdoches, Texas. Licensed in Texas. Registered with an NPI since 2020.
- Licensed in
- TX
- In the registry since
- 2020
Practice location Address checks out
421 N Fredonia StNacogdoches, TX 75961-5010
Phone: (936) 569-3150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 112439 (TX) |
|---|
Record details
| NPI number | 1104442508 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | ST |
| Sole proprietor | No |
| NPI enumerated | June 22, 2020 |
| Last updated in NPPES | February 11, 2025 |
| Certification date | February 11, 2025 |
| Mailing address | 4632 Ne Stallings Dr, Nacogdoches, TX 75965-1620 |
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