DOUGLAS SCAMBLER, PH.D.

Clinical Psychologist · LARAMIE, WY

Individual Active Opted out of Medicare NPI 1871652248

Taxonomy & licensure

Specialty	Code	Primary	License	State
Clinical Psychologist	103TC0700X	✓	448	WY
Clinical Psychologist	103TC0700X		965	OK
Clinical Child & Adolescent Psychologist	103TC2200X		965	OK
Intellectual & Developmental Disabilities Psychologist	103TM1800X		965	OK
Clinical Child & Adolescent Psychologist	103TC2200X		448	WY
Cognitive & Behavioral Psychologist	103TB0200X		448	WY
Intellectual & Developmental Disabilities Psychologist	103TM1800X		448	WY
Group Psychotherapy Psychologist	103TP2701X		448	WY

Opted out of Medicare (Clinical Psychologist), effective 2016-07-01 through 2026-07-01.

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.