MEDICARE: MR. SEAN DOUGHERTY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program		PA

General Provider Information

NPI Number	:	1972441624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SEAN DOUGHERTY

Provider Business Mailing Address
First Line	:	45 YELLOWWOOD DR
Second Line	:
City	:	DOWNINGTOWN
State	:	PA
Zip	:	19335-4611
Country	:	US
Telephone Number	:	484-484-3250
Fax Number	:

Provider Business Practice Location Address
First Line	:	45 YELLOWWOOD DR
Second Line	:
City	:	DOWNINGTOWN
State	:	PA
Zip	:	19335-4611
Country	:	US
Telephone Number	:	484-484-3250
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

Similar Medicare Providers

1235079518 — GRACE ANGELOZZI
Practice Location Address:

110 HOPEWELL RD STE 100
DOWNINGTOWN, PA
19335-1047

Practice Phone: 484-224-5885
Practice Fax:

1548328479 — DR. LORI ANN NELSEN LUNEBURG PHD
Practice Location Address:

341 E LANCASTER AVE
DOWNINGTOWN, PA
19335-2974

Practice Phone: 610-960-5340
Practice Fax:

1457209264 — DR. VINCENT JAMES ANGELINI III
Practice Location Address:

1114 VERMONT LN
DOWNINGTOWN, PA
19335-3813

Practice Phone: 610-937-7256
Practice Fax:

1588074546 — SHAWN POTTEIGER DO
Practice Location Address:

846 WILLIAMSBURG BLVD
DOWNINGTOWN, PA
19335-4127

Practice Phone: 610-207-3959
Practice Fax: 844-670-2525

1003603622 — SHAWNPO LLC
Practice Location Address:

846 WILLIAMSBURG BLVD
DOWNINGTOWN, PA
19335-4127

Practice Phone: 610-207-3959
Practice Fax:

1295171783 — DR. NICOLE KELLY PSY.D.
Practice Location Address:

1565 DELONG DR
DOWNINGTOWN, PA
19335-3740

Practice Phone: 610-316-6295
Practice Fax:

Directions to “ MR. SEAN DOUGHERTY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.