Doherty, Alisa Mary

Doherty, Alisa Mary is an individual health care provider with primary practice located at 705 Mount Auburn St , Watertown MA 02472. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Doherty, Alisa Mary can be contacted via phone (857) 304-8401.

Contact Information

Primary practice address
705 Mount Auburn St Watertown MA 02472
Phone: (857) 304-8401
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW7213 Tennessee
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 117705 Massachusetts

Profile Details

NPI number 1902939069
LBN Legal business name Doherty, Alisa Mary
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Aug 13th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers