Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLEE RAE CLOUGHERTY, M.D.
Active Sole ProprietorDR. KELLEE RAE CLOUGHERTY, M.D. is a Psychiatric Neurology healthcare provider located in LAGUNA BEACH, California. NPI 1962439661 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Neurology · LAGUNA BEACH, CA
Registration Details
- NPI Number
- 1962439661
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 27, 2006 (20.176662302125 yrs)
- Last Updated
- Jun 27, 2022
- License
-
G79391 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
21632 WESLEY DRLAGUNA BEACH, CA, 926518167Browse CA providers · Browse ZIP 92651
- Phone
- 9494995346
- Primary Specialty
-
Psychiatric Neurology
2084P0804X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.