Individual
DR. EDWARD JAMES DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D., M.A., B.A.
Contact information
Practice address
152 VOSSELLER AVE, BOUND BROOK, NJ 08805-1828
(732) 563-1110
(732) 563-1113
Mailing address
8 ALPINE PL, FLEMINGTON, NJ 08822-5941
(732) 563-1110
(732) 563-1113
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35S1001199200
NJ
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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