Provider Information for 1295125607
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
KRISTIN DOHERTY LPC
Sex: Female
NPI: 1295125607
Last Updated: 2015-01-24
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1295125607 | ||||||||
| Enumeration Date | 2015-01-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 332 ROOSEVELT AVE HASBROUCK HEIGHTS, NJ 07604-1614 United States Phone: 201-952-2128 | Fax: | ||||||||
| Primary Practice Address | 61 N MAPLE AVE STE 204A RIDGEWOOD, NJ 07450-3232 United States Phone: 201-952-2128 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|