Provider Demographics
NPI:1578673554
Name:DOCHEFF, TIMOTHY WARREN (MFT)
Entity Type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:WARREN
Last Name:DOCHEFF
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1725 W 17TH ST
Mailing Address - Street 2:STE. 114B
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92706-2316
Mailing Address - Country:US
Mailing Address - Phone:714-834-7782
Mailing Address - Fax:714-834-8235
Practice Address - Street 1:1725 W 17TH ST
Practice Address - Street 2:STE. 114B
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92706-2316
Practice Address - Country:US
Practice Address - Phone:714-834-7782
Practice Address - Fax:714-834-8235
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 37037106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist