Irene M Dougherty in Philadelphia - Professional
Irene M Dougherty - NPI 1104000157
Irene M Dougherty is a Professional in Philadelphia, Pennsylvania. Irene M Dougherty practices all healthcare services and medical treatments related to Professional. The NPI Number for Irene M Dougherty is 1104000157. The last update date is 2007-12-27.
Irene M Dougherty's current location address is 407 Fairmount Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157962481 and fax number 2156276766. The mailing address for Irene M Dougherty is 407 Fairmount Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Irene M Dougherty |
|---|---|
| Address | 407 Fairmount Ave, Philadelphia, Pennsylvania |
| Phone Number | 2157962481 |
| Fax Number | 2156276766 |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1104000157 |
|---|---|
| Provider Enumeration Date | 2007-12-27 |
| Last Updated Date | 2007-12-27 |
Provider Mailing Address Detail
| Address | 407 Fairmount Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191232807 |
| Phone Number | 2157962481 |
| Fax Number | 2156276766 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | PC003468 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Irene M Dougherty?
The Irene M Dougherty has been issued the NPI (National Provider Identifier) 1104000157 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Irene M Dougherty's physical address?
The Irene M Dougherty is physically located at 407 Fairmount Ave, in the city of Philadelphia, PA, with the postal code 191232807.
What is Irene M Dougherty's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Irene M Dougherty is Professional, and the taxonomy code that classifies this field of practice is 101Yp2500X.
When was the Irene M Dougherty's 1104000157 issued?
The Irene M Dougherty's 1104000157 was issued on 2007-12-27.
When was the information pertaining to Irene M Dougherty most recently updated or revised?
The details related to Irene M Dougherty, including its address, specialty, and other relevant information, were last updated or revised on 2007-12-27.