Dougherty, Jonathan Patrick

Dougherty, Jonathan Patrick is an individual health care provider with primary practice located at 11201 Benton St , Loma Linda CA 92357-1000. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Dougherty, Jonathan Patrick can be contacted via phone (909) 825-7084.

Contact Information

Primary practice address
11201 Benton St Loma Linda CA 92357-1000
Phone: (909) 825-7084
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health 103TH0004X
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1114762853
LBN Legal business name Dougherty, Jonathan Patrick
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2024
Last updated Jun 25th, 2024 - about 6 months 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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