Individual
KATHERINE ANNE DOUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
95 EASTERN AVE STE 8, DEDHAM, MA 02026-4582
(855) 924-5378
Mailing address
95 EASTERN AVE STE 8, DEDHAM, MA 02026-4582
(855) 924-5378
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
3898
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
08/09/2019
Last updated
11/02/2022
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