MR. DOUGLAS ROGER TILLMAN MS ED PLMHP NPI 1508072869

NPI Information

MR. Douglas Roger Tillman, MS ED, PLMHP is a counselor in Grand Island, NE. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MR. Douglas Roger Tillman, MS ED, PLMHP NPI is 1508072869. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

615 N ELM ST
GRAND ISLAND, NE
ZIP 68801-254
Phone: (308) 395-1025

The enumeration date for this NPI number is 5/15/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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