Daugherty, Timothy Kenneth

Daugherty, Timothy Kenneth is an individual health care provider with primary practice located at 1601 Ebenezer Rd , Rock Hill SC 29732-1808. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Daugherty, Timothy Kenneth can be contacted via phone (803) 322-5695.

Contact Information

Primary practice address

1601 Ebenezer Rd Rock Hill SC 29732-1808

Phone: (803) 322-5695

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Behavioral Health & Social Service Providers / Clinical	103TC0700X	556	South Carolina

Profile Details

NPI number	1134168099
LBN Legal business name	Daugherty, Timothy Kenneth
Credentials	PH.D., ABPP
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jun 6th, 2006
Last updated	Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

State	Type	Number	Issuer
All States	NPI	1134168099	NPPES
South Carolina	MEDICAID	PS0208

Popular Providers

Ryan, Michael Gerard
1506 E Franklin St Suite 202, Chapel Hill NC 27514-2825
Brinich, Paul M.
601 W Rosemary St Unit 804, Chapel Hill NC 27516-2362
Danso, Whitney
229 Johnston St , Rock Hill SC 29730-3579
Wilson, Reid
3011 Jones Ferry Rd , Chapel Hill NC 27516-5587
Myerholtz, Linda E
590 Manning Dr Unc Department Of Family Medicine, Chapel Hill NC 27599-7595
Kendall, Silvie C
1611 Constitution Blvd , Rock Hill SC 29732-3047
Lowry, Stephen H
800 Eastowne Dr Suite 201, Chapel Hill NC 27514-2299
Crockett, Madeleine
120 Providence Rd Ste 102, Chapel Hill NC 27514-2273