MEDICARE: LINDSAY DOUGHERTY MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1760537138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY DOUGHERTY MA

Provider Business Mailing Address
First Line	:	481 S WILLIAMS ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80209-2638
Country	:	US
Telephone Number	:	303-653-1118
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 S STEELE ST
Second Line	:	SUITE 435
City	:	DENVER
State	:	CO
Zip	:	80209-2805
Country	:	US
Telephone Number	:	720-432-7903
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	01/31/2017

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Directions to “ LINDSAY DOUGHERTY MA” Practice Location

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