Provider Demographics
NPI:1760844161
Name:DOCHERTY, ANNA (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:
Last Name:DOCHERTY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 E LEIGH ST
Mailing Address - Street 2:1P-132 BIOTECH ONE
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-1551
Mailing Address - Country:US
Mailing Address - Phone:612-227-2754
Mailing Address - Fax:
Practice Address - Street 1:800 E LEIGH ST
Practice Address - Street 2:1P-132 BIOTECH ONE
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-1551
Practice Address - Country:US
Practice Address - Phone:612-227-2754
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-24
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810005400103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical