Individual
DR. MICHAEL A DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1507 21ST ST, SACRAMENTO, CA 95814-5220
(916) 448-2951
(916) 448-8949
Mailing address
4417 BELA WAY, CARMICHAEL, CA 95608-1259
(916) 487-0357
(916) 487-0356
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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