Active NPIIndividual provider

Brandon J Dougherty, LSW

Occupational Therapist, Mental Health in Cologne, New Jersey

NPI Number1134802168
Practice location
807 W White Horse Pike Unit 95, Cologne, NJ 08213-1101
Fax
—
Last updated
August 8, 2023

Brandon J Dougherty is an Occupational Therapist, Mental Health based in Cologne, NJ. Brandon J Dougherty practices in Cologne, NJ and has the professional credentials of LSW. The NPI Number for Brandon J Dougherty is 1134802168 and holds a License No. 44SL06787700 (NJ). The current practice location address for Brandon J Dougherty is 807 W White Horse Pike Unit 95, Cologne, NJ 08213-1101 and can be reached out via phone at 609-829-8168.

Provider Profile Details

NPI Number
1134802168
Provider Name
Brandon J Dougherty
Credential
LSW
Provider Entity Type
Individual
Gender
Male
Address
807 W White Horse Pike Unit 95, Cologne, NJ 08213-1101
Phone Number
609-829-8168
Primary Taxonomy
Occupational Therapist, Mental Health · 225XM0800X
Sole Proprietor
No
Other Names
Brandon John Dougherty, LSW (Other Name)
Provider Enumeration Date
August 8, 2023
Last Update Date
August 8, 2023
Certification Date
August 8, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
807 W White Horse Pike Unit 95
Cologne, NJ 08213-1101
Zip
08213-1101
Phone Number
609-829-8168
Cologne, NJ 08213Get directions →

Provider Business Mailing Address Details

Address
807 W White Horse Pike Unit 95
Cologne, NJ 08213-1101
City
Cologne
State
NJ
Zip
08213-1101
Phone Number
609-829-8168

License Information

License Number
44SL06787700
License State
NJ
Taxonomy
Occupational Therapist, Mental Health · 225XM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Brandon J Dougherty, LSW?

The NPI number of Brandon J Dougherty, LSW is 1134802168. It was assigned on August 8, 2023 and is currently active in the NPPES registry.

What is the specialty of Brandon J Dougherty, LSW?

Brandon J Dougherty, LSW is registered under the primary taxonomy Occupational Therapist, Mental Health (code 225XM0800X), licensed in NJ under license number 44SL06787700.

Where does Brandon J Dougherty, LSW practice?

The practice location is 807 W White Horse Pike Unit 95, Cologne, NJ 08213-1101. The office can be reached at 609-829-8168 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134802168 directly on the NPPES registry website.

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