Individual
ERIC JOHN DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2132 S 12TH ST, ALLENTOWN, PA 18103-4810
(484) 350-3447
Mailing address
2132 S 12TH ST, ALLENTOWN, PA 18103-4810
(484) 350-3447
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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