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Individual

DR. ERIN N DOHERTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
6519 BISBY LAKE AVE # 191401, SAN DIEGO, CA 92119-2625
(858) 769-9112
Mailing address
6519 BISBY LAKE AVE # 191401, SAN DIEGO, CA 92119-2625
(858) 769-9112

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32582
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
32582
CALIFORNIA BOARD OF PSYCHOLOGY
CA
Enumeration date
06/28/2021
Last updated
06/28/2021
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