Jonathan Patrick Dougherty, PsyD
Psychologist in Loma Linda, CA. Individual provider (NPI-1).
NPI number1114762853
StatusActive
Last updated in NPPESJan 28, 2026
Details
- NPI
- 1114762853
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Patrick Dougherty
- Credential
- PsyD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2024
- Certification date
- Jan 28, 2026
- Last updated
- Jan 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
| 103TC0700X | Psychologist, Clinical | 35378 | CA | |
| 103TH0004X | Psychologist, Health | – | – |
Practice location
11201 Benton StLoma Linda, CA 92357-1000
Phone 909-825-7084
Mailing address
20335 Damietta DrWalnut, CA 91789-3723
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