Individual provider · NPI-1
Tommye G Doherty
Developmental Therapist · Little Rock, AR
NPI number1194977355
StatusActive
Last updated in NPPESOct 21, 2008
Details
- NPI
- 1194977355
- Entity type
- Individual (NPI-1)
- Name
- Tommye G Doherty
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 21, 2008
- Last updated
- Oct 21, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | – | – | Yes |
Practice location
800 Marshall StSlot 900
Little Rock, AR 72202-3510
Phone 501-364-3620 · Fax 501-364-3994
Mailing address
800 Marshall St.Slot 900
Little Rock, AR 72202-3510
Phone 501-364-3620 · Fax 501-364-3994
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