Individual
SEAN TIMOTHY DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
298 WASHINGTON ST., NORTHEAST BEHAVIORAL HEALTH, GLOUCESTER, MA 01930
(978) 412-7341
Mailing address
298 WASHINGTON ST., NORTHEAST BEHAVIORAL HEALTH, GLOUCESTER, MA 01930
(978) 412-7341
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN2274703
MA
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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