Dougherty, Stayce

Dougherty, Stayce is an sole proprietor health care provider with primary practice located at 11 Wood Street , Southwick MA 01077. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Dougherty, Stayce can be contacted via phone (413) 478-8871.

Contact Information

Primary practice address
11 Wood Street Southwick MA 01077
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 9130 Massachusetts

Profile Details

NPI number 1730497686
LBN Legal business name Dougherty, Stayce
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2010
Last updated Sep 4th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730497686 NPPES
Massachusetts MEDICAID 1300881

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