Doctor Name: | MRS. MARY ANN HILDA STIRLING-DOHERTY |
NPI Number: | 1790747194 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA LLP LBSW |
License Number: | 6301003297 |
Business Practice Address: | 1322 N River Rd Norserv Group Ltd St Clair, MI - 48079 |
Business Phone Number: | 8103294798 |
Business Fax Number: | 8103297303 |
Mailing Address: | 1860 Mayer Rd, COLUMBUS |
State: | MI |
Postal Code: | 48063 |
Phone Number: | 8103294248 |
Fax Number: | |
NPI Enumeration Date: | 04/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 6301003297 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |