Provider Demographics
NPI:1023340585
Name:LIVINGSTON QUINN, DOUGLAS TYRONE (PSYD, LMFT)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:TYRONE
Last Name:LIVINGSTON QUINN
Suffix:
Gender:M
Credentials:PSYD, LMFT
Other - Prefix:DR
Other - First Name:DOUGLAS
Other - Middle Name:TYRONE
Other - Last Name:QUINN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD, LMFT
Mailing Address - Street 1:411 VINEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:SUISUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94585-1784
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1652 NAVAJO DR
Practice Address - Street 2:
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-7731
Practice Address - Country:US
Practice Address - Phone:415-656-9419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-09
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 45338106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT13998775-3902OtherUTAH DIVISION OF PROFESSIONAL LICENSING
CA45338OtherCALIFORNIA BOARD OF BEHAVIORAL SCIENCES