Dougherty, Bernadette

Dougherty, Bernadette is an individual health care provider with primary practice located at 22 N Pennell Rd , Media PA 19063-5520. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dougherty, Bernadette can be contacted via phone (215) 770-1845.

Contact Information

Primary practice address
22 N Pennell Rd Media PA 19063-5520
Phone: (215) 770-1845
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS019625 Pennsylvania

Profile Details

NPI number 1245851336
LBN Legal business name Dougherty, Bernadette
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2020
Last updated Jan 6th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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