| Doctor Name: | MELANIE DOUGHERTY |
| NPI Number: | 1053706275 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 4704252862 |
| Business Practice Address: | 140 Michigan Ave W Battle Creek, MI - 490173602 |
| Business Phone Number: | 2699661460 |
| Business Fax Number: | 2699797766 |
| Mailing Address: | 140 Michigan Ave W, BATTLE CREEK |
| State: | MI |
| Postal Code: | 490173602 |
| Phone Number: | 2699661460 |
| Fax Number: | 2699797766 |
| NPI Enumeration Date: | 04/03/2015 |
| NPI Last Update Date: | 04/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 4704252862 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |