Roland Evan Dougherty in Yakima - Clinical
Roland Evan Dougherty - NPI 1386707693
Roland Evan Dougherty is a Clinical in Yakima, Washington. Roland Evan Dougherty practices all healthcare services and medical treatments related to Clinical. The NPI Number for Roland Evan Dougherty is 1386707693. The last update date is 2007-07-08.
Roland Evan Dougherty's current location address is 1701 Creekside Loop, Yakima, Washington. You can contact this provider via phone number 5099651359. The mailing address for Roland Evan Dougherty is 1701 Creekside Loop, Yakima, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roland Evan Dougherty |
|---|---|
| Address | 1701 Creekside Loop, Yakima, Washington |
| Phone Number | 5099651359 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1386707693 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1701 Creekside Loop |
|---|---|
| City | Yakima |
| State | Washington (WA) |
| Post Code | 98902 |
| Phone Number | 5099651359 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY00001004 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code issued to Roland Evan Dougherty by the Centers for Medicare & Medicaid Services?
The Roland Evan Dougherty has been assigned the NPI (National Provider Identifier) 1386707693 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Roland Evan Dougherty's facilities are situated?
The facilities of Roland Evan Dougherty are physically located at the following address: 1701 Creekside Loop, Yakima, WA, 98902.
What is Roland Evan Dougherty's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Roland Evan Dougherty is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
When was the Roland Evan Dougherty's 1386707693 issued?
The Roland Evan Dougherty's 1386707693 was issued on 2006-12-18.
When was the Roland Evan Dougherty's information last updated?
The Roland Evan Dougherty's information was last updated on 2007-07-08.