Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maryellen Dougherty

Individual provider Psychologist · NPI 1295137610

Maryellen Dougherty is a Psychologist in Bellevue, Washington. Practices as a sole proprietor and works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

13620 NE 20th St Ste I
Bellevue, WA 98005-4901
Phone: (425) 647-7695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2700 Robert T Longway Blvd, Flint, MI 48503-2190 — (810) 262-2320

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY60664588 (WA)
Psychologist Taxonomy 103T00000X

Record details

NPI number1295137610
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 17, 2014
Last updated in NPPESAugust 7, 2023
Certification dateAugust 7, 2023
Mailing address13620 Ne 20th St Ste I, Bellevue, WA 98005-4901

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