DR. Kevin Richard Dougherty, PH.D.

NPI #1730200635 in Linwood, New Jersey

Provider Information

NPI Number: 1730200635
Entity Type: Individual
Name: DR. Kevin Richard Dougherty, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Apr 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1910 WABASH AVE
City: Linwood
State: New Jersey
ZIP Code: 08221-1451
Phone: (609) 926-9668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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