Individual
PAMELA THYRA DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
4744 70TH ST UNIT 5, LA MESA, CA 91942-4552
(619) 303-0110
Mailing address
4744 70TH ST UNIT 5, LA MESA, CA 91942-4552
(619) 303-0110
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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