Search › Connecticut › 1041C0700X
Kelly Dougherty, LCSW
NPI 1023615614 · on the registry since 2020
Practice
- Address
- 2625 Park Ave Unit 2j
Bridgeport, CT 06604 - Phone
- (203) 615-1405
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut