Individual provider · Type 1 NPI

Mickaelle Dougherty, PhD

Psychologist · New York, NY

NPI number 1477756492 Active

Practice location

19 W 106th St
New York, NY 10025-3813

Fax (813) 290-9691

Mailing address

19 W 106th St Apt 2A
New York, NY 10025-3862

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800X4766745 (NY)
Psychologist Primary 103T00000X012401 (NY)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1477756492

Mickaelle Dougherty, PhD's National Provider Identifier is 1477756492, issued on Jun 7, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in New York, NY. The record was last updated on Jun 14, 2023.