Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA MARIE DOUGHERTY
Active Sole ProprietorAMANDA MARIE DOUGHERTY is a Adolescent and Children Mental Health Clinic healthcare provider located in BLOOMINGTON, Minnesota. NPI 1033958848 is currently active in the NPPES registry. Verify at CMS.
Adolescent and Children Mental Health Clinic · BLOOMINGTON, MN
Registration Details
- NPI Number
- 1033958848
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 21, 2024 (2.188485942882 yrs)
- Last Updated
- May 21, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
9358 ENSIGN AVE SBLOOMINGTON, MN, 554381472Browse MN providers · Browse ZIP 55438
- Phone
- 9526662289
- Primary Specialty
-
Adolescent and Children Mental Health Clinic
261QM0855X
Other Adolescent and Children Mental Health Clinic Providers in BLOOMINGTON, MN
| Name | Credential | NPI |
|---|---|---|
| ANDREW VANDEN BROEKE | MA LAMFT | 1114594546 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.