Individual provider · Type 1 NPI
John Dougherty
Intellectual & Developmental Disabilities Psychologist · Winterville, NC
NPI number
1881711026
Active
Practice location
108 W Firetower Rd Ste D
Winterville, NC 28590-8408
Fax (252) 830-3322
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | 411 (NC) |
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | 1094 (NC) |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
About NPI 1881711026
John Dougherty's National Provider Identifier is 1881711026, issued on Mar 23, 2007. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Winterville, NC. The record was last updated on Oct 17, 2013.