Individual
JULIA DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 W GOVERNMENT AVE, NORFOLK, VA 23503-2840
(757) 531-3105
Mailing address
153 W RANDALL AVE, NORFOLK, VA 23503-4334
(203) 767-6974
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813001125
VA
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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