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Mountain Lake
Licensee/Applicant Lookup
Licensee/Applicant Detail - Verification of Licensure/Application Status

Information current as of: 02/05/2010
Query Time: 02/09/2010 02:58:52 am

This site is a primary source for verification of license/applicant credentials and is updated daily.


License/Application Number 1628
First Name THOMAS J.
Last Name DOHERTY
Title PSY.D.
Address PO BOX 3174
City PORTLAND
State OR
Country U.S.A
Phone Number 503-288-1213
Status Active
Date Licensed 10/15/2004
Expiration Date 12/31/2010
Proposed or Final Discipline No
Under Supervision No

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Licensed Psychologist = PH.D, PSY.D, ED.D
Licensed Psychologist Associate = MA, MS

 

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