Individual
AMANDA DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3401 W TRUMAN BLVD STE 100, JEFFERSON CITY, MO 65109-5752
(573) 644-7909
(573) 644-7908
Mailing address
1041 JOHN SIMS PKWY E, NICEVILLE, FL 32578-2712
(850) 389-8489
(844) 377-9201
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2006031373
MO
103TC0700X
Clinical Psychologist
Primary
PY9351
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497336206
—
MO
Enumeration date
04/17/2006
Last updated
08/15/2023
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