Dr. Kevin R Dougherty, PHD
Psychologist in Linwood, New Jersey
1730200635- Practice location
- 1910 Wabash Ave, Linwood, NJ 08221-1451
- Phone
- 609-926-9668
- Fax
- 609-926-4153
- Last updated
- July 8, 2007
Kevin Richard Dougherty is a Psychologist based in Linwood, NJ. Kevin Richard Dougherty practices in Linwood, NJ and has the professional credentials of PHD. The NPI Number for Kevin Richard Dougherty is 1730200635 and holds a License No. 35SI00327200 (NJ). The current practice location address for Kevin Richard Dougherty is 1910 Wabash Ave, Linwood, NJ 08221-1451 and can be reached out via phone at 609-926-9668 and via fax at 609-926-4153.
Provider Profile Details
- NPI Number
- 1730200635
- Provider Name
- Kevin Richard Dougherty
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1910 Wabash Ave, Linwood, NJ 08221-1451
- Phone Number
- 609-926-9668
- Fax Number
- 609-926-4153
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 2, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1910 Wabash Ave
Linwood, NJ 08221-1451 - City
- Linwood
- State
- New Jersey
- Zip
- 08221-1451
- Phone Number
- 609-926-9668
- Fax Number
- 609-926-4153
Provider Business Mailing Address Details
- Address
- 1910 Wabash Ave
Linwood, NJ 08221-1451 - City
- Linwood
- State
- NJ
- Zip
- 08221-1451
- Phone Number
- 609-926-9668
- Fax Number
- 609-926-4153
License Information
- License Number
- 35SI00327200
- License State
- NJ
- Taxonomy
- Psychologist · 103T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Kevin R Dougherty, PHD?
The NPI number of Dr. Kevin R Dougherty, PHD is 1730200635. It was assigned on April 2, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Kevin R Dougherty, PHD?
Dr. Kevin R Dougherty, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NJ under license number 35SI00327200.
Where does Dr. Kevin R Dougherty, PHD practice?
The practice location is 1910 Wabash Ave, Linwood, NJ 08221-1451. The office can be reached at 609-926-9668 (phone) or 609-926-4153 (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 1730200635 directly on the NPPES registry website.