Kathryn Dougan in Jacksonville - Developmental Therapist
Kathryn Dougan - NPI 1568580330
Kathryn Dougan is a Developmental Therapist in Jacksonville, Florida. Kathryn Dougan practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Kathryn Dougan is 1568580330. The last update date is 2019-03-13.
Kathryn Dougan's current location address is 910 N Jefferson St, Jacksonville, Florida. You can contact this provider via phone number 9043607022 and fax number 9047984545. The mailing address for Kathryn Dougan is 910 N Jefferson St, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathryn Dougan |
|---|---|
| Address | 910 N Jefferson St, Jacksonville, Florida |
| Phone Number | 9043607022 |
| Fax Number | 9047984545 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1568580330 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2019-03-13 |
Provider Mailing Address Detail
| Address | 910 N Jefferson St |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322096810 |
| Phone Number | 9043607022 |
| Fax Number | 9047984545 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
|
Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 811704700 | FL | -- |
Post Comment/ Review Below
What is the Kathryn Dougan's 1568580330?
The Kathryn Dougan's NPI (National Provider Identifier) Number is 1568580330. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kathryn Dougan is physically located?
The Kathryn Dougan is physically situated at the following address: 910 N Jefferson St, Jacksonville, FL, 322096810.
What is the Kathryn Dougan's specialty and taxonomy code?
The Kathryn Dougan's specialty is Developmental Therapist, and the corresponding taxonomy code is 222Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568580330 to Kathryn Dougan?
The Centers for Medicare & Medicaid Services originally issued the 1568580330 to Kathryn Dougan on 2007-03-27.
When was the information regarding Kathryn Dougan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kathryn Dougan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-03-13.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1245233493
Address: 108 W Market St, Bloomington, IL