Dougherty, Doug Michael

Dougherty, Doug Michael is an sole proprietor health care provider with primary practice located at 4525 Lemmon Ave Suite 200, Dallas TX 75219-2145. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Dougherty, Doug Michael can be contacted via phone (214) 526-4525.

Contact Information

Primary practice address
4525 Lemmon Ave Suite 200 Dallas TX 75219-2145
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X 62871 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 62871 Texas

Profile Details

NPI number 1952569097
LBN Legal business name Dougherty, Doug Michael
Credentials THM MED LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2008
Last updated Jun 13th, 2011 - about 13 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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