Individual
KAYLA MARIE DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49 WALNUT ST BLDG 3, WELLESLEY, MA 02481-2108
(781) 239-0100
Mailing address
4 DEER HOLLOW RD, PLAISTOW, NH 03865-2100
(603) 793-2572
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
78384
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06-1827046
MOTION LLC
—
Enumeration date
03/08/2022
Last updated
03/08/2022
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