Provider Demographics
NPI:1568454668
Name:DOEBLER, DOROTHY (MED)
Entity Type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:
Last Name:DOEBLER
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-7739
Mailing Address - Country:US
Mailing Address - Phone:509-522-0160
Mailing Address - Fax:509-522-0160
Practice Address - Street 1:253 PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-7739
Practice Address - Country:US
Practice Address - Phone:509-522-0160
Practice Address - Fax:509-522-0160
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALHO3720101YM0800X
WALFO1213106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist