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ERIC JOHN DOUGHERTY PSYD
NPI 1215812904
Student in an Organized Health Care Education/Training Program in Allentown, PA

Active since August 11, 2025
2132 S 12TH ST, ALLENTOWN, PA 18103(484) 350-3447 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eric John Dougherty Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIC JOHN DOUGHERTY PSYD (NPI 1215812904) is an individual student in an organized health care education/training program in Allentown, Pennsylvania and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1215812904
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameERIC JOHN DOUGHERTYCredential: PSYD
Location Address2132 S 12TH STAllentown, PA 18103-4810
Mailing Address2132 S 12th StAllentown, PA 18103-4810 · (484) 350-3447
Phone(484) 350-3447
Sole ProprietorNo
Enumeration DateAugust 11, 2025
NPPES CertifiedAugust 11, 2025
✔ NPI 1215812904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2132 S 12TH ST, Allentown, PA 18103
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIELLE MINK PHD
Psychologist
2132 S 12TH ST
ALLENTOWN, PA 18103
Lehigh County (610) 392-6362
VIRGINIA HERZOG
Counselor (Mental Health)
2132 S 12TH ST
ALLENTOWN, PA 18103
Lehigh County (484) 350-3001
JESSICA SMITH
Counselor
2132 S 12TH ST
ALLENTOWN, PA 18103
Lehigh County (484) 350-3001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Dougherty's NPI number?

The NPI number for Eric Dougherty is 1215812904. It was assigned to this individual provider in the NPPES registry on August 11, 2025.

Where is Eric Dougherty located?

Eric Dougherty practices at 2132 S 12th St, Allentown, PA 18103. The listed phone number is (484) 350-3447.

What is Eric Dougherty's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Eric Dougherty was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.