Kelly Dougherty, MA/CCC-SLP
NPI #1578755567 in Wayne, New Jersey
Provider Information
- NPI Number
- 1578755567
- Entity Type
- Individual
- Name
- Kelly Dougherty, MA/CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MA/CCC-SLP
- Enumeration Date
- Aug 14, 2007
- Last Updated
- Aug 14, 2007
Practice Location
- Address
- 224 HAMBURG TPKE
- City
- Wayne
- State
- New Jersey
- ZIP Code
- 07470-2111
- Phone
- (973) 956-3360
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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