Individual
PAIGE LACEY DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
432 RED BIRCH RD, MILLERSVILLE, MD 21108-1414
(410) 919-7215
Mailing address
432 RED BIRCH RD, MILLERSVILLE, MD 21108-1414
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07154
MD
Other
Enumeration date
12/11/2012
Last updated
04/18/2019
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