Individual provider · Type 1 NPI

Thomas Joseph Doherty Iii, PSY.D.

Psychologist · Portland, OR

NPI number 1457404774 Active

Practice location

5257 NE Martin Luther King Jr Blvd, Suite 302
Portland, OR 97211-3282

Fax (503) 296-5393

Mailing address

PO Box 3174
Portland, OR 97208-3174

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X1628 (OR)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1457404774

Thomas Joseph Doherty Iii, PSY.D.'s National Provider Identifier is 1457404774, issued on Jan 19, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Portland, OR. The record was last updated on Aug 1, 2008.