Individual
DR. JAMES PATRICK DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2020 RAYBROOK ST, STE 303, GRAND RAPIDS, MI 49546-7717
(616) 464-1747
(616) 464-1748
Mailing address
2020 RAYBROOK ST, STE 303, GRAND RAPIDS, MI 49546-7717
(616) 464-1747
(616) 464-1748
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301011612
MI
Other
Enumeration date
08/02/2006
Last updated
07/13/2007
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