Doctor Name: | DR. CASSANDRA LYNN DOUGHERTY |
NPI Number: | 1477979227 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | S03780 |
Business Practice Address: | 604 Solarex Ct Suite 101 Frederick, MD - 217037005 |
Business Phone Number: | 3016201008 |
Business Fax Number: | |
Mailing Address: | 7404 Dance Hall Rd, FREDERICK |
State: | MD |
Postal Code: | 217013208 |
Phone Number: | 2404092089 |
Fax Number: | |
NPI Enumeration Date: | 03/17/2014 |
NPI Last Update Date: | 03/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | S03780 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |