Prof John Dougherty, is a
Psychologist - Intellectual & Developmental Disabilities based in Winterville, North Carolina. Prof John Dougherty is licensed to practice in North Carolina (license number 1094) and his current practice location is
108 W Firetower Rd Ste D, Winterville, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(252) 830-3300.
NPI number for Prof John Dougherty is 1881711026 and his current mailing address is 108 W Firetower Rd Ste D, Winterville, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881711026.
Healthcare Provider's Profile
| Full Name | Prof John Dougherty |
|---|
| Gender | Male |
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| Speciality | Psychologist - Intellectual & Developmental Disabilities |
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| Location | 108 W Firetower Rd Ste D, Winterville, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881711026
- Provider Enumeration Date: 03/23/2007
- Last Update Date: 10/17/2013
Medical Identifiers
Medical identifiers for Prof John Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881711026 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | 411 (North Carolina) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 1094 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Prof John Dougherty is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Prof John Dougherty,
108 W Firetower Rd Ste D,
Winterville, NC 28590-8408
Ph: (252) 830-3300 | Prof John Dougherty,
108 W Firetower Rd Ste D,
Winterville, NC 28590-8408
Ph: (252) 830-3300 |
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