Healthcare Provider Details

I. General information

NPI: 1033013131
Provider Name (Legal Business Name): DARRYL CHRISTIAN DUGANS II DTLLP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 W OUTER DR
DETROIT MI
48235-3461
US

IV. Provider business mailing address

18224 OAK DR
DETROIT MI
48221-2777
US

V. Phone/Fax

Practice location:
  • Phone: 313-766-6285
  • Fax:
Mailing address:
  • Phone: 313-461-1293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6352001283
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: