Dougherty, Maryellen
Dougherty, Maryellen is an sole proprietor health care provider with primary practice located at 13620 Ne 20Th St Ste I , Bellevue WA 98005-4901. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Dougherty, Maryellen can be contacted via phone (425) 647-7695.Contact Information
Primary practice address
13620 Ne 20Th St Ste I
Bellevue WA 98005-4901
Phone: (425) 647-7695
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY60664588 | Washington |
Profile Details
| NPI number | 1295137610 |
|---|---|
| LBN Legal business name | Dougherty, Maryellen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 17th, 2014 |
| Last updated | Aug 7th, 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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