Individual
DR. LEA ROSE DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1123G BIOLOGY PSYCHOLOGY BLDG, COLLEGE PARK, MD 20742-4400
(301) 405-5464
Mailing address
1601 18TH ST NW APT 503, WASHINGTON, DC 20009-2515
(202) 207-6125
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
04771
MD
Other
Enumeration date
01/15/2012
Last updated
01/15/2012
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