Sean Michael Dougherty, MALLP
Sean Michael Dougherty, MALLP is a Psychologist in Ada, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2006
Practice location Address checks out
967 Spaulding Ave SE Ste EAda, MI 49301-3703
Phone: (616) 504-1002
Fax: (616) 719-4480
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Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X · Licence 6301009294 (MI) |
|---|
Record details
| NPI number | 1902841968 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MALLP |
| Sole proprietor | Yes |
| NPI enumerated | June 16, 2006 |
| Last updated in NPPES | December 13, 2023 |
| Certification date | October 3, 2023 |
| Mailing address | 967 Spaulding Ave Se Ste E, Ada, MI 49301-3703 |
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