Sean Michael Dougherty in Grand Rapids - Psychologist
Sean Michael Dougherty - NPI 1902841968
Sean Michael Dougherty is a Psychologist in Grand Rapids, Michigan. Sean Michael Dougherty practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Sean Michael Dougherty is 1902841968. The last update date is 2022-07-21.
Sean Michael Dougherty's current location address is 5060 Cascade Rd. Se, Grand Rapids, Michigan. You can contact this provider via phone number 6164542911 and fax number 6167194480. The mailing address for Sean Michael Dougherty is 5060 Cascade Rd. Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sean Michael Dougherty |
|---|---|
| Address | 5060 Cascade Rd. Se, Grand Rapids, Michigan |
| Phone Number | 6164542911 |
| Fax Number | 6167194480 |
| Sole Proprietor | Y |
| Credentials | MA LLP |
NPI Number Detail
| NPI Number | 1902841968 |
|---|---|
| Provider Enumeration Date | 2006-06-16 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 5060 Cascade Rd. Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 49546 |
| Phone Number | 6164542911 |
| Fax Number | 6167194480 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 6301009294 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique identifier code issued to Sean Michael Dougherty by the Centers for Medicare & Medicaid Services?
The Sean Michael Dougherty has been assigned the NPI (National Provider Identifier) 1902841968. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Sean Michael Dougherty located?
The Sean Michael Dougherty is located at 5060 Cascade Rd. Se, Grand Rapids, MI 49546.
What is Sean Michael Dougherty's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sean Michael Dougherty is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
When did the Sean Michael Dougherty receive its 1902841968?
The Sean Michael Dougherty was issued its 1902841968 on 2006-06-16, which is the date when the organization was assigned this unique identifier.
When was the information regarding Sean Michael Dougherty most recently updated?
The details pertaining to the Sean Michael Dougherty, including its address, specialty, and other relevant information, were last refreshed on 2022-07-21.