Individual provider · Type 1 NPI

Eric John Dougherty, PSYD

Student in an Organized Health Care Education/Training Program · Allentown, PA

NPI number 1215812904 Active

Practice location

2132 S 12th St
Allentown, PA 18103-4810

Call (484) 350-3447 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1215812904

Eric John Dougherty, PSYD's National Provider Identifier is 1215812904, issued on Aug 11, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Allentown, PA. The record was last updated on Aug 11, 2025.