Dougherty, Katherine Martin
Dougherty, Katherine Martin is an sole proprietor health care provider with primary practice located at 38 Pennydog Ct , Silver Spring MD 20902-4168. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dougherty, Katherine Martin can be contacted via phone (301) 681-7224.Contact Information
Primary practice address
38 Pennydog Ct
Silver Spring MD 20902-4168
Phone: (301) 681-7224
Fax: (301) 681-7224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 05569 | Maryland |
Profile Details
| NPI number | 1942290234 |
|---|---|
| LBN Legal business name | Dougherty, Katherine Martin |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Feb 1st, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942290234 | NPPES |
| Maryland | MEDICAID | 118631100 | |
| Maryland | Other | 16793500 | |
| Maryland | Other | A2960001 | |
| Maryland | MEDICAID | 010110947 |
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