Robert Derrick Douglas, ST
Speech-Language Pathologist · Nacogdoches, TX
Practice location
421 N Fredonia StNacogdoches, TX 75961-5010
- Phone
- (936) 569-3150
NPI record
- NPI
- 1104442508
- Entity type
- Individual (Type 1)
- Enumeration date
- June 22, 2020
- Last updated
- February 11, 2025
- Certified
- February 11, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X |
112439 | TX |
Mailing address
4632 NE Stallings DrNacogdoches, TX 75965-1620
- Phone
- (936) 569-3150
About Robert Douglas
Robert Derrick Douglas, ST is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 421 N Fredonia St, Nacogdoches, TX 75961-5010. The NPI number 1104442508 was assigned on June 22, 2020 and the record was last updated on February 11, 2025.
Robert Douglas lists a license in the registry: #112439 (TX) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Robert Derrick Douglas, ST?
The NPI number is 1104442508.
What is the phone number of Robert Douglas?
The phone number listed for the practice location is (936) 569-3150.
Where is Robert Douglas located?
421 N Fredonia St, Nacogdoches, TX 75961-5010.
What is the taxonomy code for Robert Douglas?
The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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