Kelly Dougherty, M.S., CCC-SLP
NPI #1366504821 in Highland Park, Illinois
Provider Information
- NPI Number
- 1366504821
- Entity Type
- Individual
- Name
- Kelly Dougherty, M.S., CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S., CCC-SLP
- Enumeration Date
- Dec 14, 2006
- Last Updated
- Jan 25, 2018
Practice Location
- Address
- 1936 GREEN BAY RD
- City
- Highland Park
- State
- Illinois
- ZIP Code
- 60035-3112
- Phone
- (224) 765-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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