Organization
SEAN DOUGHERTY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN DOUGHERTY LLP (PROVIDER)
(616) 504-1002
Entity
Organization
Contact information
Practice address
967 SPAULDING AVE SE STE E, ADA, MI 49301-3703
(616) 504-1002
Mailing address
967 SPAULDING AVE SE STE E, ADA, MI 49301-3703
(616) 504-1002
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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