IndividualActive
Amanda Dougherty, PSY.D.
NPI 1841255684 · Clinical Psychologist · Jefferson City, MO
Provider details
- NPI number
- 1841255684
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 2006031373 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
3401 W Truman Blvd Ste 100
Jefferson City, MO 65109-5752
Phone: (573) 644-7909
Fax: (573) 644-7908
Approximate (ZIP-level) locationGet directions
Mailing address
1041 John Sims Pkwy E
Niceville, FL 32578-2712
Registry dates
- Enumerated
- 2006-04-17
- Last updated
- 2023-08-15
- Certified
- 2023-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.