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Contact Information

DIANE L DOUGHERTY, PHD
4301 GARTH RD
SUITE 400
BAYTOWN, TX77521
 Phone: 281-420-8400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Professional

101YP2500X
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DIANE L DOUGHERTY · (Female)

NPI # 1558343939
Status Active
Credentials PHD
Entity Individual
Enumeration date 11/18/2005
Last updated 09/12/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 2-4826
  • TX License # 24826
  • TX License # 3323
  • TX Medicaid 091752801
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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