Active NPIIndividual providerSole proprietor

Ms. Eileen R O'Doherty, M A, LADC I

Counselor, Addiction (Substance Use Disorder) in South Yarmouth, Massachusetts

NPI Number1598988586
Practice location
20 Forsythe Ave, South Yarmouth, MA 02664-1814
Fax
508-398-3478
Last updated
July 8, 2007

Eileen Ryan O'Doherty is a Counselor, Addiction (Substance Use Disorder) based in South Yarmouth, MA. Eileen Ryan O'Doherty practices in South Yarmouth, MA and has the professional credentials of M A, LADC I. The NPI Number for Eileen Ryan O'Doherty is 1598988586. The current practice location address for Eileen Ryan O'Doherty is 20 Forsythe Ave, South Yarmouth, MA 02664-1814 and can be reached out via phone at 508-398-5155 and via fax at 508-398-3478.

Provider Profile Details

NPI Number
1598988586
Provider Name
Eileen Ryan O'Doherty
Credential
M A, LADC I
Provider Entity Type
Individual
Gender
Female
Address
20 Forsythe Ave, South Yarmouth, MA 02664-1814
Phone Number
508-398-5155
Fax Number
508-398-3478
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
April 10, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Forsythe Ave
South Yarmouth, MA 02664-1814
Zip
02664-1814
Phone Number
508-398-5155
Fax Number
508-398-3478
South Yarmouth, MA 02664Get directions →

Provider Business Mailing Address Details

Address
20 Forsythe Ave
South Yarmouth, MA 02664-1814
City
South Yarmouth
State
MA
Zip
02664-1814
Phone Number
508-398-5155
Fax Number
508-398-3478

License Information

Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · 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 Ms. Eileen R O'Doherty, M A, LADC I?

The NPI number of Ms. Eileen R O'Doherty, M A, LADC I is 1598988586. It was assigned on April 10, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Eileen R O'Doherty, M A, LADC I?

Ms. Eileen R O'Doherty, M A, LADC I is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X).

Where does Ms. Eileen R O'Doherty, M A, LADC I practice?

The practice location is 20 Forsythe Ave, South Yarmouth, MA 02664-1814. The office can be reached at 508-398-5155 (phone) or 508-398-3478 (fax).

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 1598988586 directly on the NPPES registry website.

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