Provider Demographics
NPI:1760537138
Name:DOUGHERTY, LINDSAY (MA)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:DOUGHERTY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:TISHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:481 S WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-2638
Mailing Address - Country:US
Mailing Address - Phone:303-653-1118
Mailing Address - Fax:
Practice Address - Street 1:50 S STEELE ST
Practice Address - Street 2:SUITE 435
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-2805
Practice Address - Country:US
Practice Address - Phone:720-432-7903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health