Dougherty, Lauri

Dougherty, Lauri is an sole proprietor health care provider with primary practice located at 140 Captain Thomas Blvd Suite 205, West Haven CT 06516-5951. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dougherty, Lauri can be contacted via phone (203) 444-5159.

Contact Information

Primary practice address
140 Captain Thomas Blvd Suite 205 West Haven CT 06516-5951
Phone: (203) 444-5159
Fax: (203) 378-4637
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 005554 Connecticut

Profile Details

NPI number 1184031700
LBN Legal business name Dougherty, Lauri
Credentials LICENSED CLINICAL SO
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2014
Last updated Jul 15th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184031700 NPPES
Connecticut Other 005554 LICENSED CLINICAL SOCIAL WORKER

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