Brandon J Dougherty, LSW is a
Occupational Therapist - Mental Health based in Cologne, New Jersey. Brandon J Dougherty is licensed to practice in New Jersey (license number 44SL06787700) and his current practice location is
807 W White Horse Pike Unit 95, Cologne, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(609) 829-8168.
NPI number for Brandon J Dougherty is 1134802168 and his current mailing address is 807 W White Horse Pike Unit 95, Cologne, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134802168.
Healthcare Provider's Profile
Full Name | Brandon J Dougherty |
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Gender | Male |
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Speciality | Occupational Therapist - Mental Health |
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Location | 807 W White Horse Pike Unit 95, Cologne, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134802168
- Provider Enumeration Date: 08/08/2023
- Last Update Date: 08/08/2023
Medical Identifiers
Medical identifiers for Brandon J Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134802168 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225XM0800X | Occupational Therapist - Mental Health | 44SL06787700 (New Jersey) | 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. Brandon J 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 |
Brandon J Dougherty, LSW 807 W White Horse Pike Unit 95, Cologne, NJ 08213-1101 Ph: (609) 829-8168 | Brandon J Dougherty, LSW 807 W White Horse Pike Unit 95, Cologne, NJ 08213-1101 Ph: (609) 829-8168 |
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