National Provider Identifier

Calene Dougherty

Calene Dougherty is listed in the NPPES registry with a primary specialty of Day Training/Habilitation Specialist in Lackawanna, NY and a listed phone number of (716) 828-9500.

NPI 1942714290Lackawanna, NYDay Training/Habilitation Specialist

Profile Overview

NPI
1942714290
Provider Type
Individual
Primary Specialty
Day Training/Habilitation Specialist
Enumeration Date
November 24, 2017
Last Updated
November 24, 2017

Practice Location

  • 790 Ridge RD
  • Lackawanna, NY 14218-1629

Phone: (716) 828-9500

Specialties

  • Day Training/Habilitation Specialist (373H00000X)
Full Record
NPI
1942714290
Entity Type
Individual
Last Name
Dougherty
First Name
Calene
Mailing Street Address
790 Ridge RD
Mailing City
Lackawanna
Mailing State
NY
Mailing ZIP Code
14218-1629
Mailing Country
US
Practice Street Address
790 Ridge RD
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218-1629
Practice Country
US
Practice Phone
(716) 828-9500
Enumeration Date
November 24, 2017
Last Updated
November 24, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Day Training/Habilitation Specialist (373H00000X)