Individual
EMILY CAITLYN DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2258 N LAKEWAY CIR, WICHITA, KS 67205-1082
(316) 945-9117
Mailing address
3223 N OLIVER ST, WICHITA, KS 67220-2106
(316) 558-3410
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3383
KS
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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