Dr Diane L Dougherty, PHD is a
Psychologist - Clinical based in Baytown, Texas. Dr Diane L Dougherty is licensed to practice in Texas (license number 24826) and her current practice location is
4301 Garth Rd, Suite 400, Baytown, Texas. She can be reached at her office (for appointments etc.) via phone at
(281) 420-8400.
NPI number for Dr Diane L Dougherty is 1558343939 and her current mailing address is Po Box 66308, Houston, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558343939.
Healthcare Provider's Profile
| Full Name | Dr Diane L Dougherty |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 4301 Garth Rd, Baytown, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1558343939
- Provider Enumeration Date: 11/18/2005
- Last Update Date: 09/12/2013
Medical Identifiers
Medical identifiers for Dr Diane L Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558343939 | NPI | - | NPPES |
| 091752801 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 3323 (Texas) | Secondary |
| 103T00000X | Psychologist | 2-4826 (Texas) | Secondary |
| 103TC0700X | Psychologist - Clinical | 24826 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Diane L Dougherty is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Diane L Dougherty, PHD
Po Box 66308,
Houston, TX 77016
Ph: () - | Dr Diane L Dougherty, PHD
4301 Garth Rd, Suite 400,
Baytown, TX 77521
Ph: (281) 420-8400 |
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