Brandon J Dougherty, LSW is a
Occupational Therapist - Mental Health based in Cologne, New Jersey. Brandon J Dougherty is licensed to practice in New Jersey (license number 44SL06787700) and his current practice location is
807 W White Horse Pike Unit 95, Cologne, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(609) 829-8168.
NPI number for Brandon J Dougherty is 1134802168 and his current mailing address is 807 W White Horse Pike Unit 95, Cologne, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134802168.
Healthcare Provider's Profile
| Full Name | Brandon J Dougherty |
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| Gender | Male |
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| Speciality | Occupational Therapist - Mental Health |
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| Location | 807 W White Horse Pike Unit 95, Cologne, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134802168
- Provider Enumeration Date: 08/08/2023
- Last Update Date: 08/08/2023
Medical Identifiers
Medical identifiers for Brandon J Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1134802168 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225XM0800X | Occupational Therapist - Mental Health | 44SL06787700 (New Jersey) | 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. Brandon J 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 |
Brandon J Dougherty, LSW 807 W White Horse Pike Unit 95, Cologne, NJ 08213-1101 Ph: (609) 829-8168 | Brandon J Dougherty, LSW 807 W White Horse Pike Unit 95, Cologne, NJ 08213-1101 Ph: (609) 829-8168 |
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