Provider Demographics
NPI:1558793083
Name:DOUGHTY, BARBARA MEICHNER (LCPCC)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:MEICHNER
Last Name:DOUGHTY
Suffix:
Gender:F
Credentials:LCPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 KINGFISHER DR
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-7125
Mailing Address - Country:US
Mailing Address - Phone:207-751-7708
Mailing Address - Fax:207-798-7991
Practice Address - Street 1:4 KINGFISHER DR
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-7125
Practice Address - Country:US
Practice Address - Phone:207-751-7708
Practice Address - Fax:207-798-7991
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-07
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL4186101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional