Michelle Dougherty

NPI 1528303666 · on the registry since 2012

Practice

Address: 525 Route 73 North
Suite 104
Marlton, NJ 08053
Phone: (609) 575-2661
Organisation at this address: Csa Asc Llc
Chime Therapy
Lotus Services
Pylon Group Llc
Peds Purpose Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 50

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-09-06

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 New Jersey