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MR. ROBERT DERRICK DOUGLAS ST
NPI 1104442508
Speech-Language Pathologist in Nacogdoches, TX

Active since June 22, 2020
421 N FREDONIA ST, NACOGDOCHES, TX 75961(936) 569-3150 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 11, 2025, Oct 20, 2022, Jun 22, 2020 (3 updates tracked since 2020).

About Mr. Robert Derrick Douglas St NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ROBERT DERRICK DOUGLAS ST (NPI 1104442508) is an individual speech-language pathologist provider in Nacogdoches, Texas, licensed in Texas (112439) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1104442508
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameMR. ROBERT DERRICK DOUGLASCredential: ST
Location Address421 N FREDONIA STNacogdoches, TX 75961-5010
Mailing Address4632 Ne Stallings DrNacogdoches, TX 75965-1620 · (936) 569-3150
Phone(936) 569-3150
Sole ProprietorNo
Enumeration DateJune 22, 2020
Last NPPES UpdateFebruary 11, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
✔ NPI 1104442508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in TX · 112439
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
421 N FREDONIA ST, Nacogdoches, TX 75961
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VERONICA MACIAS
Speech-Language Pathologist
421 N FREDONIA ST
NACOGDOCHES, TX 75961
Nacogdoches County (936) 569-3150
DR. AUDREY GWEN YOUNG ED.D
Specialist/Technologist (Speech-Language Assistant)
421 N FREDONIA ST
NACOGDOCHES, TX 75961
Nacogdoches County (936) 569-3150
MRS. CYNTHIA ANN TOLSON M.ED. CCC/SLP
Speech-Language Pathologist
421 N FREDONIA ST
NACOGDOCHES, TX 75961
Nacogdoches County (936) 569-3150
BAILEY CRAIG COTA
Occupational Therapy Assistant
421 N FREDONIA ST
NACOGDOCHES, TX 75961
Nacogdoches County (936) 569-3150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Douglas's NPI number?

The NPI number for Robert Douglas is 1104442508. It was assigned to this individual provider in the NPPES registry on June 22, 2020.

Where is Robert Douglas located?

Robert Douglas practices at 421 N Fredonia St, Nacogdoches, TX 75961. The listed phone number is (936) 569-3150.

What is Robert Douglas's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Robert Douglas was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.