| Doctor Name: | MR. JEFFREY THOMAS DOHENY |
| NPI Number: | 1255404356 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.P. |
| License Number: | LP1880 |
| Business Practice Address: | 2006 1st Ave Suite 207 Anoka, MN - 553032290 |
| Business Phone Number: | 7634215535 |
| Business Fax Number: | 7634330226 |
| Mailing Address: | 2115 County Road D E, Suite B MAPLEWOOD |
| State: | MN |
| Postal Code: | 551095353 |
| Phone Number: | 6517485019 |
| Fax Number: | 6517737591 |
| NPI Enumeration Date: | 11/16/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | LP1880 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |