Individual
THOMAS F DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D, LICSW
Contact information
Practice address
825 WASHINGTON ST, SUITE 265, NORWOOD, MA 02062-3441
(781) 762-6141
(781) 762-4713
Mailing address
825 WASHINGTON ST, SUITE 265, NORWOOD, MA 02062-3441
(781) 762-6141
(781) 762-4713
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
103047
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2010230
CIGNA HEALTH CARE
MA
01
—
2554999000
MAGELLAN BEHAVIORAL HEALT
MA
01
—
761579
TUFTS HEALTH CARE
MA
01
—
S029382
CHAMPUS
MA
Enumeration date
07/26/2006
Last updated
07/09/2007
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