Doughty, Shannon S
Doughty, Shannon S is an sole proprietor health care provider with primary practice located at 1902 Old Parsonage Rd , Charleston SC 29414-6205. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Doughty, Shannon S can be contacted via phone (843) 259-8853.Contact Information
Primary practice address
1902 Old Parsonage Rd
Charleston SC 29414-6205
Phone: (843) 259-8853
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X |
Profile Details
| NPI number | 1700947751 |
|---|---|
| LBN Legal business name | Doughty, Shannon S |
| Credentials | PHD, BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700947751 | NPPES |
| South Carolina | MEDICAID | WP8971 |
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