| Doctor Name: | DR. CHRISTINA MARIE DOHERTY |
| NPI Number: | 1063678787 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 019805-1 |
| Business Practice Address: | 125 Spencer Pl Mamaroneck, NY - 105435601 |
| Business Phone Number: | 9148747225 |
| Business Fax Number: | |
| Mailing Address: | 140 New St, Apt 2407 MAMARONECK |
| State: | NY |
| Postal Code: | 105431545 |
| Phone Number: | 9148747225 |
| Fax Number: | |
| NPI Enumeration Date: | 08/01/2008 |
| NPI Last Update Date: | 12/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 019805-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |