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Individual

DR. LINDA M. DOUGHERTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
2405 W MAIN ST STE 1, RICHMOND, VA 23220-4448
(804) 358-8009
(804) 358-8009
Mailing address
2405 W MAIN ST STE 1, RICHMOND, VA 23220-4448
(804) 358-8009
(804) 358-8009

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000220
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007701250
VA
Enumeration date
08/01/2006
Last updated
06/12/2013
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