Individual
CYNTHIA S DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6087 S QUEBEC ST, STE 103, CENTENNIAL, CO 80111-4539
(303) 770-1975
(303) 469-7375
Mailing address
6087 S QUEBEC ST, STE 103, CENTENNIAL, CO 80111-4539
(303) 770-1975
(303) 469-7375
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
870
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07008709
—
CO
01
—
841170055 80111 A001
TRICARE -TRIWEST MILITARY
CO
Enumeration date
03/17/2007
Last updated
03/06/2009
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