Dougherty, Katherine Martin

Dougherty, Katherine Martin is an sole proprietor health care provider with primary practice located at 38 Pennydog Ct , Silver Spring MD 20902-4168. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dougherty, Katherine Martin can be contacted via phone (301) 681-7224.

Contact Information

Primary practice address
38 Pennydog Ct Silver Spring MD 20902-4168
Fax: (301) 681-7224
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 05569 Maryland

Profile Details

NPI number 1942290234
LBN Legal business name Dougherty, Katherine Martin
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2005
Last updated Feb 1st, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942290234 NPPES
Maryland MEDICAID 118631100
Maryland Other 16793500
Maryland Other A2960001
Maryland MEDICAID 010110947

Popular Providers