Search › Hawaii › 176B00000X
Susanna Dani Dougherty, CPM, LM, PCES
NPI 1518252634 · on the registry since 2011 · sole proprietor
Practice
- Address
- 40 Pohakulani St
Hilo, HI 96720 - Phone
- (808) 990-0394
- Fax
- (888) 977-3122
Registry record
- Primary taxonomy
- 176B00000X
176B00000X
- Also registered as
- 2255A2300X
- Licence states on file
- HI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-11-22
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 Hawaii