Provider Demographics
NPI:1639942758
Name:CHRISTINE DOTY LLC
Entity Type:Organization
Organization Name:CHRISTINE DOTY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOTY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:570-419-1278
Mailing Address - Street 1:425 MARKET ST STE 3A-2
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-6345
Mailing Address - Country:US
Mailing Address - Phone:570-203-2030
Mailing Address - Fax:570-203-2955
Practice Address - Street 1:425 MARKET ST STE 3A-2
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-6345
Practice Address - Country:US
Practice Address - Phone:570-203-2030
Practice Address - Fax:570-203-2955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty