Provider Demographics
NPI:1447672068
Name:SPEARS, DOUGLAS ALAN (PHD, LPCC,LPC)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:ALAN
Last Name:SPEARS
Suffix:
Gender:M
Credentials:PHD, LPCC,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 AL HENDERSON BLVD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-6031
Mailing Address - Country:US
Mailing Address - Phone:912-629-3780
Mailing Address - Fax:912-629-4700
Practice Address - Street 1:55 AL HENDERSON BLVD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-6031
Practice Address - Country:US
Practice Address - Phone:912-629-3780
Practice Address - Fax:912-629-4700
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-16
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007680101YP2500X
OHE0002442101YP2500X
KY0157101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional