Douglas Stephen Southern
PHD | Psychologist | 12+ years Exp
104 E Linda Vista Blvd Ste B, Roswell
New Mexico, 88201-6667
575-624-8889 Maps & DirectionsDouglas Stephen Southern is a Roswell, New Mexico based psychologist with 12 years of experience in Psychology. He completed his graduation in 2013. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Douglas Stephen Southern is 1353 for General Psychology in New Mexico. His current practice location is 104 E Linda Vista Blvd Ste B, Roswell. Patients can reach him at 575-624-8889. Douglas Stephen Southern is PHD in Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1043407190.
Douglas Stephen Southern is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, he performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. He can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Profile:
Douglas Stephen Southern speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Douglas Stephen Southern |
| Specialization: | Psychology |
| Gender: | Male |
| Credentials: | PHD |
| Experience: | 12+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2013 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 104 E Linda Vista Blvd Ste B, Roswell,
New Mexico, 88201-6667 |
| Phone: | 575-624-8889 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 6901125111 |
| Enrollment ID: | I20150508001675 |
| NPI Number: | 1043407190 |
| NPI Enumeration Date: | 02 Oct, 2007 |
| NPI Last Update On: | 21 Apr, 2017 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Douglas Stephen Southern are as mentioned below.
| License Number | Specialization | State | Status | |
| 1353 | General Psychology | New Mexico | Primary | |
| 0128981 | Counselor | New Mexico | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Douglas Stephen Southern such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 10180087 | Medicaid | New Mexico | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Douglas Stephen Southern
Po Box 3391,
Roswell, New Mexico |
| Zip: | 88202-3391 |
| Phone Number: | 575-624-8889 |
Patients can reach Douglas Stephen Southern at
104 E Linda Vista Blvd Ste B, Roswell, New Mexico or can
call to book an appointment on 575-624-8889.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.